مريض تليف كبد يتجهز لبزل الاستسقاء. أي إجراء صحيح قبل البزل؟

A client with cirrhosis is prepared for paracentesis. Which action is correct beforehand?

1. Position him prone during the procedure
2. Have the client empty the bladder
3. Give a strong diuretic an hour before
4. Keep him nil by mouth for fluids for 24 hours

Answer: B) Have the client empty the bladder. Emptying the bladder reduces the risk of puncture. The client sits up or has the head raised; weight and girth are recorded before and after, and BP is monitored as large-volume removal can cause hypotension.