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. Koplik spots are a symptom of measles, not rubella.
B. Aspirin should not be administered to children due to the risk of Reye’s syndrome.
C. Rubella requires droplet precautions, not airborne precautions.
D. Rubella poses a risk to pregnant women due to the potential for congenital rubella syndrome, so isolation from pregnant staff is essential.

A. Banana slices B. Grapes C. Hot dog D. Popcorn

Correct Answer is A

Explanation

A. Banana slices are a safe food for toddlers to pick up and eat independently.
B. Grapes should be avoided for toddlers because they are a choking hazard unless cut into small pieces.
C. Hot dogs are also a choking hazard for toddlers and should be avoided unless cut into small, manageable pieces.
D. Popcorn is a choking hazard for toddlers and should not be offered.

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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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Explanation

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