What is the main pharmacological concern after performing a paracentesis?
Tachycardia
Hyperglycemia
Bowel Changes
Hypotension
The Correct Answer is D
Rationale:
A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue.
B. Paracentesis does not directly affect blood glucose levels.
C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis.
D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Hypertonic solutions, like TPN with 25% dextrose, can irritate peripheral veins and cause phlebitis. Administering them through a central line allows rapid dilution in a large volume of blood, reducing vein irritation and promoting safe infusion.
B. Blood glucose monitoring is not dependent on the line type; it is done via peripheral blood samples.
C. The infusion rate is determined by the prescribed therapy, not by whether a central line is used.
D. Central lines do not decrease the risk of infection; in fact, they carry a higher risk of central line–associated bloodstream infections compared with peripheral lines.
Correct Answer is ["A","B","E"]
Explanation
Rationale:
A. Maintaining a healthy weight reduces pressure on the abdomen and can help prevent worsening of a hiatal hernia.
B. Elevating the head of the bed helps prevent reflux of gastric contents during sleep.
C. Reducing fluids is not recommended; adequate hydration is important.
D. Remaining upright (not lying down) after meals is recommended; lying down for half an hour increases reflux risk.
E. Limiting caffeine, spicy foods, and other reflux-triggering foods helps reduce symptoms associated with hiatal hernia.
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