Question

6. Priority Nursing action for the patient undergoing a paracentesis include? Select all that apply
a. obtain informed concent
b. Have the patient bathe
c. Assess vital signs and weight
d. Instruct the patient to lay in a supine position.
e. Have the patient void
7. Upon completion of the procedure, the priority nursing action is to? Select all that apply.
a. Note the amount of fluid and discard all fluid obtained.
b. put an abnormal binder on the patient.
c.Apply a clear occlusive dressing to the insertion site.
d. Assess vital sign, weigh patient and maintain the client on bed.
8. The nurse will monitor the patient for which potential complication?
a. hypertension
b.increased abdominal girth
c. hematuria
d. decreased edema

Answer 1

Answer: Have the patient void, obtained informed consent. Instruct the patient to lay in a supine position.

( The patient should empty his bladder, the nurse should obtain informed consent so that the patient should know about the procedures)

Answer: Assess vital sign, weigh patient and maintain the client on bed., Note the amount of fluid and discard all fluid obtained..

Answer: Abdominal girth increase.

( Due to diseased condition, there could be increase or swelling in the abdominal cavity.)