A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

A) Perform the procedure prior to meals: This is the correct action. Postural drainage should ideally be performed before meals to minimize the risk of vomiting and to ensure the child is comfortable during and after the procedure.

B) Perform the procedure twice each day: While frequency may vary based on the child's needs, it is often recommended to perform postural drainage more frequently than twice a day, depending on the severity of the condition and the child's specific respiratory needs.

C) Administer a bronchodilator after the procedure: Bronchodilators are typically administered before postural drainage to help open the airways and improve the effectiveness of the drainage. Giving them after the procedure is not standard practice.

D) Hold hand flat to perform percussions on the child: The correct technique for performing chest percussion is to cup the hand slightly, creating a pocket of air that helps to effectively dislodge mucus. A flat hand can be less effective and may not provide the necessary impact.

A) Administer 1 L dextrose 5% in water IV bolus prior to the procedure: Administering a large volume IV bolus is generally unnecessary before a paracentesis. It can lead to abdominal distension and discomfort, potentially complicating the procedure. Fluid management should be carefully considered based on the client’s condition rather than a standard bolus.

B) Initiate NPO status 4 hr prior to the procedure: Paracentesis typically does not require NPO status unless sedation is planned, which is uncommon. Keeping the client NPO can cause unnecessary discomfort and does not align with standard pre-procedural care for a paracentesis, which usually allows for regular oral intake.

C) Position the client over an overbed table prior to the procedure: While positioning is crucial for comfort and access, clients are generally positioned sitting at the edge of the bed or in a semi-Fowler's position. An overbed table may not provide adequate support and could lead to discomfort or complications during the procedure.

D) Instruct the client to empty her bladder prior to the procedure: This action is important as it helps reduce the risk of bladder injury during the paracentesis and minimizes discomfort. An empty bladder allows for better access to the abdominal cavity, indicating that the nurse understands the necessary preparations for the procedure.