A client with ascites is scheduled for a paracentesis to relieve discomfort and abdominal distention. What action should the nurse take before the procedure to ensure client safety?
Withhold all oral medications on the day of the procedure.
Administer an analgesic to the client to relieve pain during the procedure.
Assist the client in emptying the bladder before the procedure.
Ensure that the client has been fasting for at least 12 hours before the procedure.
The Correct Answer is C
Choice A reason:
Withholding all oral medications on the day of the procedure may not be necessary and should be determined by the healthcare provider's instructions based on the specific medications the client is taking.
Choice B reason:
Administering an analgesic to the client before the procedure may be appropriate to relieve pain, but it should be prescribed and administered by the healthcare provider.
Choice C reason:
This statement is correct. Ensuring that the client has emptied the bladder before the paracentesis procedure is important to prevent any potential complications during the procedure.
Choice D reason:
Fasting for at least 12 hours before the procedure may not be necessary for a paracentesis, as it is typically a minor procedure and does not require prolonged fasting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Magnetic Resonance Imaging (MRI) is commonly used to evaluate the liver and abdominal organs, providing detailed images that can help assess the severity and extent of ascites in clients with cirrhosis.
Choice B reason:
An electroencephalogram (EEG) is used to assess brain activity and is not directly related to the evaluation of ascites in clients with cirrhosis.
Choice C reason:
Positron Emission Tomography (PET) scan is used to visualize metabolic activity in body tissues and is not commonly used for evaluating ascites.
Choice D reason:
Bone Density Scan (DEXA scan) is used to assess bone health and is not directly related to the evaluation of ascites in clients with cirrhosis.
Correct Answer is B
Explanation
Choice A reason:
Administering prescribed diuretics is essential in managing ascites, but it may not immediately address the client's respiratory distress.
Choice B reason:
This statement is correct. Elevating the head of the bed can improve respiratory mechanics and ease breathing for a client experiencing respiratory distress due to ascites.
Choice C reason:
Providing oxygen therapy is important for clients with respiratory distress, but it may not directly address the underlying cause of the distress in this situation.
Choice D reason:
Deep breathing exercises are beneficial for promoting lung expansion, but they may not be the priority in a client experiencing severe respiratory distress.
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