What is the priority nursing intervention following a paracentesis procedure?

Following a paracentesis procedure, the primary nursing intervention is to monitor for signs of hypovolemia. This is crucial because the procedure involves the removal of fluid from the abdominal cavity, which can lead to fluid shifts and potential fluid volume depletion.

Signs of hypovolemia may include changes in blood pressure, heart rate, respiratory rate, and overall patient status. It is essential for the nurse to assess the patient closely for these indicators to ensure that any drops in blood pressure or signs of shock are addressed promptly. Monitoring vital signs and observing for any symptoms that may suggest decreased blood volume helps in maintaining patient safety and stability following the procedure.

Other aspects of care, such as administering pain medication, documenting the procedure, and observing for infection, are also important but take a secondary priority immediately after the paracentesis, as the risk of hypovolemia can have more immediate and severe consequences if not monitored closely.