Which complication is most commonly associated with paracentesis for ascites?
Hemorrhage
Pulmonary embolism
Renal failure
Peritonitis
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. High-fiber foods are beneficial for bowel regularity and should not be decreased.
B. Excessive or chronic use of stimulant laxatives like bisacodyl can lead to electrolyte imbalances, dehydration, and dependence.
C. While rectal irritation is possible, electrolyte imbalance is the more significant risk.
D. Irregular bowel movements are common and not necessarily indicative of poor intestinal health.
Correct Answer is []
Explanation
Rationale:
- Potential Condition: The client with cirrhosis shows elevated ammonia (236 mcg/dL), confusion, agitation, and disorientation, which are classic findings of hepatic encephalopathy.
- Actions to Take:
- Lactulose is given to lower ammonia levels by promoting its excretion through the stool.
- Assessing for asterixis (flapping tremor of the hands) is key in identifying worsening encephalopathy.
- Parameters to Monitor:
- Neurologic status (orientation, cognition, responsiveness) should be monitored closely to evaluate improvement or deterioration.
- Safety measures are essential because confusion and agitation increase the client’s risk for falls and injury.
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