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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 B

Explanation

Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.

A. To replace lost blood components B. To restore extracellular fluid volume C. To replenish electrolytes rapidly D. To correct metabolic acidosis

Correct Answer is B

Explanation

Rationale:
A. Replacing lost blood components requires blood products, not isotonic crystalloids.
B. Isotonic crystalloid fluids (e.g., 0.9% sodium chloride, lactated Ringer’s) are administered to restore extracellular fluid volume in clients with fluid volume deficit.
C. While isotonic solutions contain electrolytes, their primary purpose is volume replacement, not rapid electrolyte correction.
D. Correcting metabolic acidosis may require specific interventions; isotonic fluids alone do not address acid-base imbalances.

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Which complication is most commonly associated with paracentesis for ascites?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

What is the primary reason for administering isotonic crystalloid IV fluids to a client with fluid volume deficit?

Correct Answer is B

Explanation

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?

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