The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt. The patient asks why this needs to be done instead of the paracentesis. The nurse replies:
1. "It helps the kidneys to retain needed sodium."
2. "It will decrease the need for analgesics."
3. "This procedure will prevent the loss of protein."
4. "There is less risk of infection with this procedure."
3
Fluids containing protein are returned to the vascular compartment to retain important ele-ments such as albumin. The retention of albumin reduces fluid accumulation.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 810
OBJ: 4 TOP: Ascites KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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