Question

the nurse is caring for a client with fatty liver disease who is scheduled for a paracentesis to treat ascites. the client has an indwelling urinary catheter in place to aid in the healing of a sacral pressure injury. the nurse assesses the client and would notify the registered nurse regarding which priority finding? answer options: 1. the clients abdomen is round and protuberant. 2. the clients last bowel movement was 3 days ago. 3. the client is having difficulty with deep - breathing exercises. 4. the client has pink - tinged urine in the indwelling urinary drainage bag.

Explanation:

Pink - tinged urine may indicate hematuria, which can be a serious complication. An abdomen being round and protuberant is expected with ascites. A 3 - day interval between bowel movements is not an immediate priority. Difficulty with deep - breathing exercises is not as urgent as possible bleeding in the urinary tract.

Answer:

1. The client has pink - tinged urine in the indwelling urinary drainage bag.