A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?

Prone

Lateral

Supine

Upright

Answer and Explanation

The Correct Answer is D

Choice A reason: The prone position is not suitable for abdominal paracentesis as it does not allow access to the abdominal cavity.

Choice B reason: The lateral position is also not suitable as it can cause the fluid to shift, making it difficult to remove.

Choice C reason: While the supine position is commonly used for many medical procedures, it is not the best choice for abdominal paracentesis due to the distribution of fluid.

Choice D reason: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.

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Correct Answer is B

Explanation

Choice A reason: Pain is a common postoperative symptom and should be managed appropriately. However, it is not typically considered a priority over other complications that can have more immediate and severe consequences.

Choice B reason: Hemorrhage is a significant risk after TURP and can be life-threatening. It is considered a priority because active bleeding can lead to shock and requires immediate intervention.

Choice C reason: Infection is a potential complication after any surgery, including TURP. While important to monitor for, it is generally not as immediately life-threatening as hemorrhage.

Choice D reason: Urinary retention can occur after TURP, but it is often anticipated and managed with the placement of a urinary catheter. It is a concern but not the highest priority immediately following surgery.

A. Weigh the client daily. B. Restrict fluid intake. C. Administer oral corticosteroids. D. Provide a low carbohydrate diet.

Correct Answer is C

Explanation

Choice A reason: Weighing the client daily is important for monitoring fluid balance but is not the most immediate action to prevent an Addisonian crisis.

Choice B reason: Restricting fluid intake is not appropriate for a client at risk for Addisonian crisis, as they may require increased fluids to prevent dehydration.

Choice C reason: This is the correct action. Clients with Addison's disease require corticosteroids to replace the hormones that their adrenal glands are not producing.

Choice D reason: Providing a low carbohydrate diet is not relevant to the prevention of an Addisonian crisis.

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A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?

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