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 D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

A. Bradycardia B. Asterixis C. Fever D. Melena

Correct Answer is B

Explanation

A) Bradycardia is not typically associated with hepatic encephalopathy.

B) Asterixis is a characteristic finding in hepatic encephalopathy, known as "flapping tremor," indicating neuromuscular irritability due to elevated blood ammonia levels.
C) Fever is not a common direct symptom of hepatic encephalopathy.

D) Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.

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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

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Correct Answer is D

Explanation

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

Correct Answer is B

Explanation

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Which question would the nurse ask to identify a risk factor for liver disease?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?