A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure?

Side-lying

Supine

High-Fowler's

Leaning forward

Answer and Explanation

The Correct Answer is C

A. The side-lying position is not appropriate for paracentesis because it does not allow optimal access to the abdomen and can make fluid removal more difficult.

B. The supine position is also not suitable for paracentesis, as it may not allow for proper drainage and can increase the risk of respiratory compromise, especially in clients with large volumes of ascitic fluid.

C. High-Fowler’s position is correct because it helps pool the ascitic fluid in the lower abdomen, making it easier to access and drain during the procedure. This position also helps improve breathing by relieving pressure on the diaphragm caused by the ascites.

D. The leaning forward position is not appropriate for paracentesis, as it can be uncomfortable and does not provide optimal access to the abdominal cavity for fluid removal.

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Correct Answer is B

Explanation

A. Fluids should not be restricted; adequate hydration is necessary to help flush the contrast dye used during the procedure out of the client's system.
B. Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
C. The client should avoid range-of-motion exercises to the lower extremities immediately following the procedure to prevent disruption of the femoral artery site.
D. The client should remain on bed rest for several hours following the procedure to reduce the risk of bleeding at the catheter insertion site.

A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile. B. Press water from a sponge rather than wringing it. C. Finish weekly household tasks within 1 or 2 days. D. Turn doorknobs using a clockwise motion.

Correct Answer is B

Explanation

A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.

B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.

C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.

D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.

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