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?

Choice A rationale

Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.

Choice B rationale

While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.

Choice C rationale

Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.

Choice D rationale

Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.

Choice A rationale

A capillary refill time of 3 seconds is slightly prolonged but not as concerning as other symptoms. Monitoring is warranted, but it is not an immediate priority.

Choice B rationale

Cool fingers can indicate reduced circulation, but it requires further assessment to determine its significance. Immediate attention is needed if accompanied by other severe symptoms.

Choice C rationale

Severe itching can be uncomfortable and may indicate skin irritation, but it is not typically a medical emergency.

Choice D rationale

Increased pain at the fracture site can indicate complications such as compartment syndrome, which requires immediate medical intervention to prevent permanent damage.