SCENARIO 6
Randy Wheeler, 52 years old, was admitted with a diagnosis of cirrhosis related to chronic alcoholism.
He is complaining of his abdomen being tight and distended, which is due to ascites. He also complains
of shortness of breath and restlessness this morning. His morning vitals were as follows: temperature,
99.2°F (37.3°C); pulse, 102 beats/min; respirations, 36 breaths/min; and blood pressure, 138/96 mm Hg.
The vital signs were consistent with previously recorded vitals. When the physician made rounds, he in-
formed you that he would be back in 30 minutes to perform an abdominal paracentesis.
Which nursing activity is the priority? Identify in order of priority as numbers 1 through 5, with num-
ber 1 being top priority.
Make sure the paracentesis equipment is available.
Perform a body system assessment
Ensure that the patient voids to empty the bladder.
Take vital signs.
Get patient signature on informed consent.
