A nurse is admitting a client who is to undergo paracentesis for removal of ascitic fluid. Which of the following actions should the nurse take?

Rationale: A. Weigh the client before and after the procedure: Weighing the client helps to assess the volume of fluid removed and its immediate impact on the client’s body weight. This also assists in evaluating the effectiveness of the procedure and monitoring for fluid imbalances or complications. B. Administer a low-volume hypertonic enema the night before the procedure: Enemas are not indicated for paracentesis, which involves the peritoneal cavity, not the bowel. Preparing the bowel is not necessary for this procedure and does not influence its safety or effectiveness. C. Place the client in a side-lying position for the procedure: Paracentesis is typically performed with the client in a semi- to high-Fowler’s position. This position causes ascitic fluid to collect in the lower abdomen, making it more accessible and reducing the risk of organ puncture. D. Ensure the client has a full bladder just prior to the procedure: The bladder should be emptied before paracentesis to reduce the risk of accidental puncture. A full bladder increases the chance of bladder injury during the needle insertion into the peritoneal cavity.