Free NCLEX RN Practice Test Practice Question
A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?
Correct Answer: C
Rationale: Having the patient urinate before a paracentesis is crucial to prevent bladder puncture. With the bladder distended, there is a risk of inadvertently puncturing it during the procedure, which can lead to serious complications.
While patient comfort (A) and prevention of incontinence (B) are valid considerations, they are secondary to the risk of injury. Fluid displacement (D) is not a primary concern in this context, as the procedure focuses on removing abdominal fluid, not affecting bladder contents. Thus, ensuring an empty bladder is essential for patient safety during the procedure.
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