A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care?
Position the client over an overbed table prior to the procedure.
Instruct the client to empty her bladder prior to the procedure.
Administer 1 L dextrose 5% in water IV bolus prior to the procedure.
Initiate NPO status 4 hr prior to the procedure.
The Correct Answer is B
A. Positioning the client over an overbed table is not appropriate for a paracentesis procedure and may interfere with the procedure.
B. Emptying the bladder before the procedure helps to reduce the risk of accidental bladder puncture during paracentesis.
C. Administering IV fluids prior to the procedure is not typically indicated for a paracentesis, unless specifically ordered by the provider for hydration purposes.
D. NPO status is not typically required before a paracentesis procedure unless otherwise specified by the provider.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Mastitis is a breast infection that can occur in breastfeeding women. It causes inflammation, pain, redness, and sometimes fever and pus in the affected breast. One of the risk factors for mastitis is nipple trauma, such as cracks or fissures, that can allow bacteria to enter the breast tissue.
Correct Answer is D
Explanation
A. Positioning the client in reverse Trendelenburg can increase the risk of maternal aspiration.
B. The lithotomy position is not appropriate for cesarean birth and may compromise blood flow to the placenta.
C. This position could increase pressure on the vena cava and compromise placental blood flow.
D. This lateral tilt relieves pressure on the inferior vena cava, preventing decreased placental blood flow.
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