The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Check blood glucose daily

Monitor for dark color of urine

Follow low carbohydrate diet

Change positions slowly

Answer and Explanation

The Correct Answer is D

A)   Checking blood glucose daily is not directly relevant unless the client also has diabetes.

B)   While this can indicate other health issues, it is not specific post-paracentesis advice.
C)   A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions.
D)   Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevent dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.

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Correct Answer is C

Explanation

A) While important, it is not directly related to the coagulopathy indicated by the prolonged PT.
B) Important for overall fluid management but not directly related to the risk of bleeding.
C) With a significantly prolonged PT, assessing for signs of gastrointestinal bleeding is a priority.

D) Important for safety, but the immediate risk of bleeding due to coagulopathy takes precedence.

A. Weight loss B. Pedal edema C. Flushed skin D. Hematemesis

Correct Answer is B

Explanation

A) Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight gain rather than weight loss.
B) Ascites often accompanies peripheral edema, particularly in the lower extremities.

C) Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to anemia or jaundice due to liver dysfunction.
D) Ascites is not directly associated with vomiting blood; hematemesis may indicate complications such as esophageal varices, which can occur in advanced liver disease.

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The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

Correct Answer is C

Explanation

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

Correct Answer is B

Explanation

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A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

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