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 A
Explanation
A. Sitting in a chair next to the bed provides a comfortable and professional setting, allowing the nurse to engage with the client at eye level.
B. Sitting on the bed may be seen as too informal and might invade the client’s personal space.
C. Standing at the side of the bed can create a sense of distance and is less personal.
D. Standing at the foot of the bed may make the nurse seem detached and less approachable.
Correct Answer is A
Explanation
A. Banana slices are a safe food for toddlers to pick up and eat independently.
B. Grapes should be avoided for toddlers because they are a choking hazard unless cut into small pieces.
C. Hot dogs are also a choking hazard for toddlers and should be avoided unless cut into small, manageable pieces.
D. Popcorn is a choking hazard for toddlers and should not be offered.
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