ABDOMINAL
CHRONIC LIVER DISEASE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A 63-year-old client with cirrhosis underwent paracentesis today. Which assessment finding alerts the nurse that the procedure was successful?
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Decrease in post-procedure weight
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No residual obtained during procedure
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Substantial decrease in blood pressure
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Immediate sensation of a need to urinate Weight should decrease as fluid is drained from the abdominal cavity. A substantial decrease in blood pressure can indicate shock. Residual should be obtained during the procedure. The client should not feel a sensation or need to urinate, because a primary safety measure is to have the client void right before the procedure to avoid injury to the bladder during the procedure.
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Explanation:
Detailed explanation-1: -Assessment of the patient with cirrhosis should include assessing for: Bleeding. Check the patient’s skin, gums, stools, and vomitus for bleeding. Fluid retention.
Detailed explanation-2: -Abdominal radiographs should be obtained before paracentesis, because air may be introduced during the procedure and may interfere with interpretation.
Detailed explanation-3: -Patients with ascites typically will have flank dullness on examination, shifting dullness, a fluid wave, evidence of pleural effusions, and findings related to the underlying cause of the ascites, such as stigmata of cirrhosis (cirrhosis includes spider angioma, palmar erythema, and abdominal wall collaterals.
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