A client with end stage liver disease, cirrhosis, and ascites is scheduled for a paracentesis. Which of the following interventions can be anticipated related to care of this patient?

Void prior to the paracentesis

Ask about family history of malignant hyperthermia.

Place the patient in the prone position for the procedure

Administer metronidazole prophylactically for infection

Answer and Explanation

The Correct Answer is A

A. Void prior to the paracentesis: Before a paracentesis, the patient is typically instructed to void to reduce the risk of puncturing the bladder during the procedure. It is an essential preparatory step.

B. Ask about family history of malignant hyperthermia: Malignant hyperthermia is related to anesthetic agents, not paracentesis.

C. Place the patient in the prone position for the procedure: The correct position for paracentesis is high Fowler’s (sitting upright at 45–90°) to allow fluid to collect in the lower abdomen for easier drainage.

D. Administer metronidazole prophylactically for infection: This is not a routine intervention before a paracentesis, as the risk of infection is managed with sterile technique during the procedure.

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Correct Answer is A

Explanation

A. Moist and formed: A left-sided ostomy is likely from the descending or sigmoid colon, where stool is more formed and solid because most water has been absorbed.

B. Ribbon-like: Ribbon-like stool is often associated with bowel obstruction or colorectal cancer, not a normal ostomy output.

C. Mucus-coated: Mucus-coated stool is more typical in patients with an ileostomy or colitis, not a long-term colostomy.

D. Loose and liquid: Liquid stool is expected with an ileostomy (right-sided ostomy), where less water is absorbed.

A. A client who works in a child care center B. A client who has recently traveled to a underdeveloped country C. A client who has multiple tattoos D. A client who eats raw shellfish

Correct Answer is C

Explanation

A. A client who works in a child care center: Hepatitis A is more commonly spread in child care settings due to fecal-oral transmission, not hepatitis C, which is bloodborne.

B. A client who has recently traveled to an underdeveloped country: Hepatitis A and E are more common in developing countries due to poor sanitation. Hepatitis C is primarily transmitted through blood.

C. A client who has multiple tattoos: Clients with multiple tattoos are at risk if proper sterilization techniques were not followed, as hepatitis C is transmitted through contaminated blood.

D. A client who eats raw shellfish: Raw shellfish is associated with hepatitis A, not hepatitis C.

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A client with end stage liver disease, cirrhosis, and ascites is scheduled for a paracentesis. Which of the following interventions can be anticipated related to care of this patient?

Nursing Test Bank

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