Author Question: A nurse is caring for a client with lung cancer who has had a paracentesis performed to relieve ... (Read 78 times)

corkyiscool3328 · **on:** Jul 17, 2018

A nurse is caring for a client with lung cancer who has had a paracentesis performed to relieve breathing difficulties. For which of the following adverse effects should the nurse monitor the client?

A) Hypervolemia
B) Punctured lung
C) Shock
D) Pulmonary edema

Question 2

The nurse is collecting a urine sample from a retention catheter. What is a correct step in collecting this urine sample?

A) Wash the hands and put gloves on both the hands.
B) Clamp the catheter for 20 minutes before collecting the specimen.
C) Unclamp the catheter just before inserting the needle.
D) Explain the procedure to the client soon after completion.

pratush dev · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
A large amount of fluid withdrawn (>1,000 mL) during paracentesis or thoracentesis can result in vasodilation and hypovolemia (decreased circulating fluid volume). These situations can cause syncope (temporary loss of consciousness, fainting) and shock. Parecentesis involves puncturing the abdominal cavity, not the lung.

Answer to Question 2

A
Feedback:
Washing the hands and putting gloves on both the hands is a correct step. It reduces the risk of infection from handling the specimen. Clamping the catheter for less than 15 minutes before collecting the specimen guarantees a fresh specimen. It need not be clamped for 20 minutes. After the procedure, the catheter must be unclamped to allow free urinary flow and to prevent urinary stasis. It should not be unclamped just before inserting the needle. The nurse should explain the procedure to the client before beginning the procedure and not soon after its completion.