The nurse is planning care for a patient scheduled for paracentesis to treat ascites. Which outcome should the nurse use for this patient's plan of care?
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.
Correct Answer: 3
The goal of paracentesis is to relieve respiratory distress caused by excess fluid in the abdomen. Paracentesis does not cause an enlarged liver or alter breath sounds. A ruptured spleen is not a complication of paracentesis.
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A client with hearing loss gets very frustrated trying to carry on conversations with friends. Which type of stressor is the client experiencing?
A) Physical B) Psychological C) Sensory deficits D) Sociocultural
What is the purpose of postmortem care?
What will be an ideal response?
The nurse has been caring for 12-year-old Damion during his 5-day hospitalization. The child's IV has infiltrated and the care provider is getting ready to change the IV line site
Which of the following statements made by the nurse would be appropriate in supporting the child? A) "Damion, I will be back after your IV is in place." B) "Would you like me to stay with you Damion or are you OK alone?" C) "Damion is left-handed and likes to draw; an IV site in his right arm would be best." D) "The nurses on the unit know Damion well so maybe a nurse could start the IV."