A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?
Prone
Lateral
Supine
Upright
The Correct Answer is D
Choice A reason: The prone position is not suitable for abdominal paracentesis as it does not allow access to the abdominal cavity.
Choice B reason: The lateral position is also not suitable as it can cause the fluid to shift, making it difficult to remove.
Choice C reason: While the supine position is commonly used for many medical procedures, it is not the best choice for abdominal paracentesis due to the distribution of fluid.
Choice D reason: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Weight bearing exercises, such as walking, jogging, and dancing, are beneficial for building and maintaining bone density. These activities force the body to work against gravity, stimulating bone formation and slowing bone loss.
Choice B reason: While bone density scans are useful for diagnosing osteoporosis, they are not typically used as a preventive measure but rather as a diagnostic tool to assess bone health.
Choice C reason: Drinking coffee in moderation is not directly related to preventing osteoporosis. Excessive caffeine intake can interfere with calcium absorption, but a single cup is unlikely to have a significant impact.
Choice D reason: Increasing sodium intake is not recommended as it can lead to calcium loss through urine, which is counterproductive for bone health.
Correct Answer is A
Explanation
Choice A reason: Urine specific gravity measures the kidney's ability to concentrate urine. A normal range is typically 1.005–1.030. A value of 1.020 indicates adequate hydration and suggests that the patient is responding well to IV fluid therapy.
Choice B reason: Serum sodium levels reflect electrolyte balance. The normal range is 135–145 mEq/L. A level of 165 mEq/L is significantly elevated, indicating hypernatremia, which could be a sign of inadequate hydration and not a positive response to treatment.
Choice C reason: Hematocrit represents the proportion of blood volume occupied by red blood cells. Normal ranges are 38.3–48.6% for men and 35.5–44.9% for women. A hematocrit of 48% is at the upper limit of normal and does not specifically indicate the effectiveness of dehydration treatment.
Choice D reason: Blood urea nitrogen (BUN) levels can indicate renal function and hydration status. The normal range is 7–20 mg/dL. A BUN of 12 mg/dL is within the normal range and does not specifically reflect the patient's response to IV fluids for dehydration.
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