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 C
Explanation
Choice A rationale
Placing throw rugs on the floor increases the risk of falls, which is particularly dangerous for clients with Alzheimer's disease due to potential mobility and cognitive impairments. Fall prevention measures are critical in their care.
Choice B rationale
Leaving the television on can contribute to sensory overload and confusion in clients with Alzheimer's disease. A calm and structured environment with minimal distractions is more beneficial for their cognitive function and well-being.
Choice C rationale
Installing locks at the top of doors helps prevent clients with Alzheimer's disease from wandering and ensures their safety. This modification addresses the common issue of wandering and helps keep the client secure in their environment.
Choice D rationale
Scheduling alternate caregivers is important for managing caregiver fatigue but is not directly related to environmental modifications in the home. Caregiver support is crucial, but the focus here is on physical safety within the home environment.
Correct Answer is D
Explanation
Choice A rationale
Disinfecting the wound bed with alcohol can cause tissue damage and delay healing. The appropriate action is to clean the wound with a saline solution.
Choice B rationale
Preparing sterile dressing supplies 30 minutes before the procedure can compromise sterility. Supplies should be prepared immediately before use.
Choice C rationale
Sterile gloves are worn during the dressing change procedure, not for removing the old dressing. Clean gloves are appropriate for removing the old dressing.
Choice D rationale
Offering the client pain medication before the procedure can help manage pain and discomfort during the dressing change.
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