A nurse is assisting a provider with a client who is to undergo a thoracentesis.
In which of the following positions should the nurse place the client?
Supine with the head of the bed flat.
Trendelenburg with the head flexed.
Sitting upright while leaning forward over pillows.
Lying prone with arms extended away from body.
The Correct Answer is C
Choice A rationale
The supine position with the head of the bed flat does not facilitate the safe and effective draining of fluid from the pleural cavity. This position can compromise the respiratory status of the patient and is therefore not suitable for a thoracentesis.
Choice B rationale
The Trendelenburg position, where the head is lower than the feet, can increase intracranial pressure and is not suitable for thoracentesis. This position does not allow for the optimal access to the pleural space needed for the procedure.
Choice C rationale
Sitting upright while leaning forward over pillows is the ideal position for a thoracentesis. This position allows the fluid to accumulate at the base of the pleural cavity and provides easy access for the procedure. It also facilitates better breathing and reduces the risk of injury to the diaphragm and other internal structures.
Choice D rationale
Lying prone with arms extended away from the body does not provide adequate access to the pleural space for thoracentesis. This position also makes it difficult to manage and monitor the patient's respiratory status during the procedure. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
For unrelieved chest pain, taking a second tablet of sublingual nitroglycerin after 5 minutes is recommended to ensure prompt relief of angina symptoms.
Choice B rationale
Refilling the prescription every 12 months is incorrect as sublingual nitroglycerin should be replaced more frequently to ensure its effectiveness, typically every 6 months.
Choice C rationale
Storing the medication in the refrigerator is not recommended as it should be kept at room temperature, away from light and moisture to maintain its potency.
Choice D rationale
Swallowing the tablet whole with a glass of water is incorrect as sublingual nitroglycerin is designed to be absorbed under the tongue for rapid relief of angina symptoms.
Correct Answer is A
Explanation
Choice A rationale
Ensuring the weights hang freely prevents interference with the traction, which helps maintain alignment and reduce pain.
Choice B rationale
Maintaining 6.8 kg (15 lb) of weight is not specific to skin traction and could be inappropriate, as the weight should be based on the physician's orders.
Choice C rationale
Loosening the ropes of the pulleys when repositioning the client can interfere with the effectiveness of the traction.
Choice D rationale
Inspecting the client's skin every 12 hours for signs of breakdown is not frequent enough; skin should be checked more often to prevent complications.
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