A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?

Confirm that the client is able to urinate.

Compare the client's current weight with preprocedure weight.

Examine for leakage at the site of the procedure.

Check the client's serum albumin levels.

Answer and Explanation

The Correct Answer is B

A.   While urine output is important, it is not the most direct indicator of the success of a paracentesis.
B.   Comparing the client's weight before and after the procedure helps to evaluate the effectiveness by showing a reduction in fluid buildup.
C.   Leakage at the site could indicate a complication, but it is not the primary measure of the procedure’s
effectiveness.
D.   Serum albumin levels may be monitored but are not the first indicator of success after a paracentesis.

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Correct Answer is D

Explanation

A. Maternal hypoglycemia typically does not cause fetal bradycardia.
B. Chorioamnionitis could lead to fetal tachycardia, not bradycardia.
C. Maternal fever may cause fetal tachycardia, not bradycardia.
D. Fetal anemia can lead to fetal bradycardia as the fetus struggles to maintain adequate oxygenation.

A. Wear loose-fitting underwear. B. Void every 5 to 6 hr during the day. C. Drink four 240 mL (8 oz) glasses of water each day. D. Take a bubble bath after intercourse.

Correct Answer is A

Explanation

A. Wearing loose-fitting underwear helps keep the genital area dry and prevents irritation, which can reduce the risk of urinary tract infections (UTIs).
B. The client should void every 2 to 3 hours during the day to help prevent UTIs.
C. The client should drink more fluids, typically 8 glasses (240 mL) or more, to help flush out bacteria from the urinary tract.
D. Bubble baths should be avoided as they can irritate the urinary tract and increase the risk of UTIs.

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A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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