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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Chronic kidney disease often results in metabolic acidosis, leading to decreased bicarbonate levels rather than increased.
B. Chronic kidney disease commonly leads to hyperphosphatemia and hypocalcemia due to impaired renal excretion of phosphate and decreased activation of vitamin D, resulting in decreased calcium levels.
C. Chronic kidney disease often results in anemia due to decreased production of erythropoietin, leading to decreased hemoglobin levels rather than increased.
D. Increased creatinine levels are indicative of impaired renal function, a hallmark of chronic kidney disease.

A. Uneven shoulder and pelvic heights B. Mild pain in the hip region C. Exaggerated curvature of the sacrum D. Limited range-of-motion of the hips

Correct Answer is A

Explanation

A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.

C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.

D. Limited range-of-motion of the hips is not a specific indicator of scoliosis

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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?

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