NCLEX-RN

Category - Physiological

A nurse is caring for a client who is scheduled for paracentesis. The following nursing actions are appropriate except:
  1. Ensuring that informed consent has been signed by the client
  2. Encouraging the client to void before the start of paracentesis
  3. Informing the client that the physician will remove 1 to 2 L of fluid
  4. Instructing the client to lie in a supine position during the procedure
Explanation
Answer: D - The client should be positioned upright on the side of the bed with his back supported and his feet resting on a stool. The other options are appropriate.
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