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: This statement is incorrect. Synthetic casts typically dry much faster than plaster casts. Plaster casts can take 24 to 48 hours to fully harden, while synthetic casts made from materials like fiberglass or plastic can harden within a few hours.

Choice B reason: This is the correct statement. Synthetic casts are indeed lighter than plaster casts. They are made from materials like fiberglass, which is lighter than the traditional plaster of Paris used in plaster casts.

Choice C reason: This statement is incorrect. Plaster casts are generally heavier than synthetic casts. The weight of a cast can be an important consideration, especially for children or for those who may have difficulty managing a heavier cast.

Choice D reason: This statement is incorrect. Both plaster and synthetic casts require specialized equipment for application, but it is not specific to plaster casts. The application involves similar steps for both types, including the use of a stockinette, padding, and then the casting material itself.

A. Serum creatinine 1.8 mg/dL B. Magnesium 2.0 mEq/L C. Blood urea nitrogen (BUN) 20 mg/dL D. Serum osmolality 290 mOsm/kg H2O

Correct Answer is A

Explanation

Choice A reason: Serum creatinine is a waste product from the normal breakdown of muscle tissue. A level of 1.8 mg/dL is higher than the normal range (0.61.2 mg/dL for females), indicating impaired kidney function and an increased risk of AKI.

Choice B reason: A magnesium level of 2.0 mEq/L is within the normal range (1.72.2 mEq/L) and does not typically indicate an increased risk of AKI.

Choice C reason: A BUN level of 20 mg/dL is within the normal range (720 mg/dL) and does not suggest an increased risk of AKI by itself.

Choice D reason: A serum osmolality of 290 mOsm/kg H2O is within the normal range (275295 mOsm/kg H2O) and does not indicate an increased risk of AKI.

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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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Naxlex Comprehensive Predictor Exams

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