You're caring for Jane, a 57 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Before her paracentesis, you instruct her to:

A. Empty her bladder
B. Lie supine in bed
C. Remain NPO for 4 hours
D. Clean her bowels with an enema


Answer: A
Explanation: A full bladder can interfere with paracentesis and be punctured inadvertently.

Nursing

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Recent years have seen significant changes in the American healthcare landscape as well as in the area of LP/VN education. Which of the following statements most accurately describes trends in these areas?

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Which health problem continues to increase in school-aged and adolescent children?

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The nurse is completing a suicide risk assessment with a patient. For which factor should the nurse assess based on an understanding of the psychiatric causal factor in suicide?

1. Anticipatory grief 2. Fearful anxiety 3. Acute illness 4. Increased productivity

Nursing