The healthcare system in the United States has increased in complexity, resulting in new and expanded opportunities for nurse practitioners. Activities previously performed only by medical doctors are now becoming increasingly within the scope of practice of the nurse practitioner. Little information is known about how patients perceive this healthcare change. Nurse practitioners often manage patients with acute and chronic disorders and numerous studies have shown that patients are satisfied with their delivery of care. Specifically, the question of client satisfaction with nurse practitioners delivery of care following a skills intervention, specifically performing a paracentesis for patients with large volume ascites is examined. The purpose of this capstone project was to describe patient/client satisfaction with nurse practitioner delivery of care following a skilled intervention.