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Which complication is most commonly associated with paracentesis for ascites?

Hemorrhage

Pulmonary embolism

Renal failure

Peritonitis

Answer and Explanation

The Correct Answer is D

Rationale:

A. While bleeding is a potential risk of paracentesis, it is less common than infection.

B. This is not a typical complication of paracentesis.

C. Although large-volume paracentesis can occasionally affect kidney perfusion, renal failure is not the most common complication.

D. Infection of the peritoneal cavity (spontaneous bacterial peritonitis) is the most common and serious complication associated with paracentesis. Proper aseptic technique is essential to minimize this risk.

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Correct Answer is D

Explanation

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.

A. Epigastrium B. Umbilical C. Flank D. Subumbilical

Correct Answer is B

Explanation

Rationale:
A. Epigastrium refers to the upper central region of the abdomen, just below the sternum; Cullen’s sign does not appear here.
B. Umbilical region (around the navel) is where Cullen’s sign appears as a bluish discoloration due to subcutaneous fat necrosis or retroperitoneal bleeding associated with acute pancreatitis. This is the correct site.
C. Flank discoloration is known as Grey Turner’s sign, another indicator of retroperitoneal bleeding, but distinct from Cullen’s sign.
D. Subumbilical refers to the area below the umbilicus, not the typical site for Cullen’s sign.

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Which complication is most commonly associated with paracentesis for ascites?

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Naxlex Comprehensive Predictor Exams

What is the main pharmacological concern after performing a paracentesis?

Correct Answer is D

Explanation

In reviewing the medical record for a patient admitted with acute pancreatitis, the nurse sees that the patient has a positive Cullen's sign. Indicate the area in the accompanying figure where the nurse will assess for this change.

Correct Answer is B

Explanation

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