Which outcome should receive priority in the care plan for a patient who has had a paracentesis to treat ascites?
1. The patient will have normal bilateral breath sounds.
2. The patient's spleen will not rupture.
3. The patient's respiratory effort will be lessened.
4. The patient will not manifest symptoms of hepatomegaly.
3
Rationale 1: Paracentesis will not help clear abnormal breath sounds.
Rationale 2: A ruptured spleen is not a complication of a paracentesis.
Rationale 3: The purpose of paracentesis is to remove enough fluid to reduce pressure on the diaphragm and abdominal organs. A manifestation of successful paracentesis is a reduction in respiratory effort.
Rationale 4: Damage to the liver can cause the ascites that necessitates paracentesis. Paracentesis will not reduce liver size.
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1. Explain all procedures beforehand. 2. Allow the client more time to think. 3. Minimize details the client receives. 4. Administer sedation for severe anxiety.
Which number is the base in 104?
What will be an ideal response?
The perinatal nurse observed the pediatrician completing the Ballard Gestational Age by Maturity Rating tool. The maturity components used with this assessment tool are: Select all answers that apply
A) Physical B) Behavioral C) Reflexive D) Neuromuscular
To add medication to the IV fluid bag, the nurse should:
A. Shake the bag to mix the medication B. Insert medication into the main tubing port C. Label the outside of the bag with a felt-tip marker D. Cleanse the injection port with antiseptic before adding the medication