ABDOMINAL
CHRONIC LIVER DISEASE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Have the client sign the informed consent form.
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Get the patient into a chair before the procedure.
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Help the client lie flat in bed on the right side.
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Assist the client to void before the procedure.
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Detailed explanation-1: -ANS: B For safety, the client should void just before a paracentesis. The nurse or the provider should have the client sign the consent form. The proper position for a paracentesis is sitting upright in bed or, alternatively, sitting on the side of the bed and leaning over the bedside table.
Detailed explanation-2: -(The patient should empty the bladder before the paracentesis to prevent puncture of the bladder. Then, the patient should be positioned sitting on the side of the bed or in high Fowler position. While the fluid is being removed, the nurse should monitor the patient for signs of syncope.
Detailed explanation-3: -Nurses to monitor body weight, abdominal girth, prevent deep vein thrombosis, encourage ambulation and educate the patient and family about the importance of a low sodium diet.