A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Confirm that the client is able to urinate.
Compare the client's current weight with preprocedure weight.
Examine for leakage at the site of the procedure.
Check the client's serum albumin levels.
The Correct Answer is B
A. While urine output is important, it is not the most direct indicator of the success of a paracentesis.
B. Comparing the client's weight before and after the procedure helps to evaluate the effectiveness by showing a reduction in fluid buildup.
C. Leakage at the site could indicate a complication, but it is not the primary measure of the procedure’s
effectiveness.
D. Serum albumin levels may be monitored but are not the first indicator of success after a paracentesis.
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Related Questions
Correct Answer is "{\"xRanges\":[132,167],\"yRanges\":[113.5,148.5]}"
Explanation
A. This area corresponds to the trachea which produces bronchial breath sounds which are inconsistent with lower airway disease as expected in pneumonia.
B. This area corresponds to the right upper lung lobe which is accurate for auscultation for abnormal breath sounds such as crackles.
C. This area corresponds to the right upper quadrant for auscultation for bowel sounds.
D. This area corresponds to the cardiac region which is more accurate for auscultation of heart sounds.
Correct Answer is B
Explanation
A. Offering clear liquids should typically occur 6 hours or later postoperatively; in the first few hours, the focus is on monitoring and pain management.
B. Administering analgesics on a scheduled basis ensures consistent pain control and helps prevent unnecessary discomfort.
C. Applying a warm compress is not appropriate in the early postoperative period and may risk increased bleeding.
D. Giving cromolyn nebulized solution is unrelated to appendectomy recovery and is not part of standard postoperative care.
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