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":"B","dropdown-group-2":"D"}
Explanation
- A Mantoux test: This is used to detect tuberculosis (TB) infection, especially if there's a suspicion of TB based on symptoms or exposure history.
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A chest x-ray: This imaging test helps assess for lung conditions, including pneumonia, tuberculosis, or other pulmonary issues that might be causing the client's symptoms.
Incorrect Choices and Explanations:
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A nasopharyngeal swab: This is used for detecting respiratory viruses, such as influenza or COVID-19, rather than evaluating TB or general lung conditions.
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A pulmonary function test: This measures lung function and is used to diagnose conditions like asthma or chronic obstructive pulmonary disease (COPD), which might not be the immediate concern in an emergency setting without specific symptoms.
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Blood cultures: These are used to identify bacterial infections in the bloodstream rather than evaluating TB or assessing lung conditions.
Correct Answer is B
Explanation
A. A larger-bore needle (usually 18- to 20-gauge) is recommended for blood transfusions to prevent hemolysis and ensure adequate flow rate.
B. Flushing the tubing with 0.9% sodium chloride ensures that it is primed and free from air or any incompatible solutions before starting the blood transfusion.
C. Vital signs should be checked immediately before, during, and after the transfusion to monitor for adverse reactions.
D. Blood transfusions are typically completed over 2 to 4 hours, depending on the clinical context, to reduce the risk of complications.
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