A nurse is assisting with the preparation of a client who is scheduled for a paracentesis. In which of the following positions should the nurse place the client during the procedure?

Prone

Knees elevated

Lithotomy

Leaning forward

Answer and Explanation

The Correct Answer is D

Choice A reason: Prone position is not appropriate for a paracentesis, as it can compress the abdominal organs and make it difficult to access the peritoneal cavity.

Choice B reason: Knees elevated position is not appropriate for a paracentesis, as it can increase the intra-abdominal pressure and reduce the amount of fluid that can be drained.

Choice C reason: Lithotomy position is not appropriate for a paracentesis, as it can expose the genital area and increase the risk of infection or injury.

Choice D reason: Leaning forward position is appropriate for a paracentesis, as it can shift the abdominal organs upward and allow more space for the needle insertion and fluid drainage.

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Correct Answer is B

Explanation

Choice A: This is incorrect. Potassium 4.0 mEq/L is a normal value and does not indicate heart failure.

Choice B: This is correct. Brain natriuretic peptide (BNP) is a hormone that is released by the heart when it is stretched or overloaded. A high level of BNP indicates that the heart is working harder than normal and may have heart failure. A normal BNP level is less than 100 pg/mL, so 275 pg/mL is elevated and suggestive of heart failure.

Choice C: This is incorrect. Sodium 140 mEq/L is a normal value and does not indicate heart failure.

Choice D: This is incorrect. Calcium 9.0 mg/dL is a normal value and does not indicate heart failure.

A. Uses NSAIDs for pain relief B. Age 45 years C. Smokes cigarettes D. Regular aerobic exercise

Correct Answer is C

Explanation

Choice A reason: Using NSAIDs for pain relief is not a risk factor for osteoporosis. NSAIDs are nonsteroidal anti-inflammatory drugs that are used to treat pain and inflammation. They do not affect bone density or calcium metabolism.

Choice B reason: Age 45 years is not a risk factor for osteoporosis. Osteoporosis is more common in older adults, especially postmenopausal women, but it can affect anyone at any age. The risk of osteoporosis increases with age, but it is not determined by a specific age.

Choice C reason: Smoking cigarettes is a risk factor for osteoporosis. Smoking can reduce bone mass and increase bone loss by interfering with the production and activity of estrogen, which is a hormone that protects bone health. Smoking can also impair blood circulation and oxygen delivery to the bones, which can affect their growth and repair.

Choice D reason: Regular aerobic exercise is not a risk factor for osteoporosis. Aerobic exercise is a type of physical activity that increases the heart rate and improves cardiovascular fitness. Aerobic exercise can also benefit bone health by stimulating bone formation and increasing bone density. Aerobic exercise can also prevent falls and fractures by improving balance and coordination.

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A nurse is assisting with the preparation of a client who is scheduled for a paracentesis. In which of the following positions should the nurse place the client during the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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