A client just had a paracentesis. Which nursing intervention is a priority for this client?
a. Monitor urine output.
b. Maintain bedrest as per protocol.
c. Position the client flat in bed.
d. Secure the trocar to the abdomen with tape.
B
After a paracentesis, the client should remain on bedrest with the head of the bed elevated. A client with liver dysfunction is at risk for bleeding, and bedrest decreases this risk. Clients with liver dysfunction must have intake and output monitored, but this is not the priority after this procedure. A drain may be placed for short-term therapy in some clients.
You might also like to view...
The client tells the nurse, "I could hardly eat my dinner last night; I just felt sick when I tried to eat." The nurse's best response would be which of the following?
1. "I am sorry you were unable to enjoy your dinner." 2. "Did you have any vomiting with your dinner?" 3. "What made you feel sick during dinner?" 4. "Were you nauseated when you tried to eat?"
The nurse educator is teaching a group of students about the phases of the nurse–client relationship. Which of the following objectives does the educator include as indicative of the working phase of the nurse–client relationship?
1. Client accomplishments are honestly evaluated. 2. Plans for follow-up are clearly arranged. 3. Client behaviors and response patterns are openly analyzed. 4. Roles and responsibilities of the client are explicitly defined.
What is the appropriate indication for use of ritodrine (Yutopar)?
a. Management of postpartum hemorrhage b. Induction of labor c. Management of preterm labor d. Ripening of the cervix
The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk factors, which include:
Select all answers that apply: A) Adolescence B) Low educational level C) History of depression D) A strong support system for the pregnancy