Question

A client is admitted with cirrhosis of the liver and fluid in the peritoneal cavity. The physician instructs the nurse to prepare the client for a paracentesis. Which intervention would be included in preparation? A. Placing the client in the prone position B. Starting an IV with an 18-gauge needle C. Obtaining a lipid profile D. Assessing that the client empties the bladder

Short answer

Answer: D. Assessing that the client empties the bladder

Step-by-step solution

Understanding paracentesis

Paracentesis is a medical procedure during which a thin needle or catheter is inserted into the abdomen to remove excess fluid, or ascites, accumulates in the peritoneal cavity. This procedure is commonly used to relieve symptoms or complications caused by liver cirrhosis.

Evaluating the given options

Let's examine each of the intervention options provided: A. Placing the client in the prone position: This intervention is incorrect. For paracentesis, the client should be placed in a semi-upright or sitting position for safety and practical reasons. B. Starting an IV with an 18-gauge needle: This intervention is not directly related to the preparation for paracentesis. Starting an IV may be necessary in some cases, but it's not a specific part of the paracentesis procedure. C. Obtaining a lipid profile: This intervention is not relevant to paracentesis. A lipid profile is a blood test that measures cholesterol levels, which is not directly related to the procedure. D. Assessing that the client empties the bladder: This is the correct intervention. It is important for the client to empty their bladder before paracentesis to reduce the risk of bladder puncture during the procedure.

Providing the correct answer

Based on the evaluation of the given options, the correct intervention for preparing a client with cirrhosis of the liver and fluid in the peritoneal cavity for a paracentesis is: D. Assessing that the client empties the bladder