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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Driving the client to the nearest medical facility is not appropriate; professional emergency medical services are needed.
B. Notifying emergency management services ensures that the client receives professional medical evaluation and care immediately.
C. Providing water to test the gag reflex is not appropriate in an emergency situation and could pose a choking risk.
D. Performing carotid massage is not recommended and could worsen the condition; it is not a standard emergency procedure.
Correct Answer is D
Explanation
A. Carvedilol does not significantly increase the risk of rhabdomyolysis when used with colchicine.
B. Omeprazole does not interact with colchicine in a way that increases the risk of rhabdomyolysis.
C. Hydrochlorothiazide does not have a known interaction with colchicine that significantly increases the risk of rhabdomyolysis.
D. Atorvastatin increases the risk of rhabdomyolysis when used with colchicine, as both can contribute to muscle damage.
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