Paracentesis Nursing Care focuses on hepatobiliary pathophysiology and nursing surveillance: ascites, portal hypertension, variceal bleeding risk, ammonia and encephalopathy patterns, jaundice workup themes, and procedure support for paracentesis when ordered. You protect airway if altered mentation worsens, maintain bleeding precautions, trend electrolytes and renal function, and teach sodium restriction, lactulose/rifaximin adherence themes, and when to seek care for GI bleed or worsening confusion. Pair liver failure & hepatic encephalopathy, GI bleed assessment, GERD & PUD bleeding clues, and Canada RN hub · US RN hub.