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","B","C"]
Explanation
Correct Answers:
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Ultrasound, MRCP, and CT scan.
Rationale:
- Ultrasound is commonly used as an initial noninvasive imaging tool for detecting pancreatic abnormalities.
- MRCP (Magnetic Resonance Cholangiopancreatography) is a specialized MRI technique that provides detailed images of the pancreatic and biliary ducts.
- CT scan provides cross-sectional imaging of the pancreas and can identify masses or ductal obstruction.
- Biopsy is diagnostic but not considered an imaging technique.
- HIDA scan assesses gallbladder function, not pancreatic ducts.
- X-ray is not effective for direct pancreatic duct imaging.
Correct Answer is ["A","B","D","F","G","H"]
Explanation
Vital Signs
- Temperature: 39°C (102.2°F) → fever worsened since admission (sign of possible infection).
- Heart rate: 122/min → tachycardia, worsened compared to earlier.
- Blood pressure: 106/54 mmHg → trending downward, may indicate fluid deficit/hypotension risk.
Nurse’s Notes
- Client lethargic → worsening mental status.
- Projectile vomiting → new onset, risk of dehydration and electrolyte imbalance.
- Abdominal cramping → possible gastrointestinal complication.
- Voiding dark, concentrated urine → sign of dehydration.
- Client requesting water → excessive thirst consistent with hyperglycemia/possible hyperosmolar state.
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