The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Increased heart rate

Increased urine production

Increased mental alertness

Increased breath sounds

Answer and Explanation

The Correct Answer is A

Choice A rationale: This is because removing a large amount of fluid from the abdominal cavity can cause a sudden decrease in intra-abdominal pressure, which can lead to hypovolemia and hypotension. The body compensates by increasing the heart rate to maintain cardiac output and perfusion.

Choice B rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice C rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice D rationale: This is not directly related to paracentesis and may indicate other conditions.

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Correct Answer is B

Explanation

Choice A rationale: While joint deformities are concerning in RA, the immediate attention would be required for an acute, red, hot, swollen joint which could indicate an active inflammatory process.
Choice B rationale: Redness, heat, and swelling in a joint are signs of an acute flare in rheumatoid arthritis and might require urgent intervention to manage the inflammation.
Choice C rationale: Puffy-looking areas behind the knee might indicate joint involvement but might not require immediate attention as much as an acutely inflamed joint.
Choice D rationale: Jaw pain while eating can be a symptom of TMJ involvement in RA, but an acutely inflamed joint would generally take precedence.

A. Severe pain in the arch of the foot B. Multiple toe deformities C. Redness and severe swelling D. Numbness and paresthesia

Correct Answer is A

Explanation

Choice A rationale: Plantar fasciitis typically presents with severe pain in the arch of the foot, especially during the first steps in the morning or after prolonged periods of rest.

Choice B rationale: Multiple toe deformities are not typically associated with plantar fasciitis.

Choice C rationale: Redness and severe swelling are not typical findings in plantar fasciitis.

Choice D rationale: Numbness and paresthesia are not common findings in plantar fasciitis.

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The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?

Correct Answer is B

Explanation

The nurse is performing an assessment of a client with possible plantar fasciitis in the right foot. What assessment finding would the nurse expect in the right foot?

Correct Answer is A

Explanation

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