A nurse is collecting data from a patient following a thoracentesis.
Which of the following findings should prompt the nurse to notify the provider?

500 mL of fluid removed during thoracentesis.

Chest x-ray clear.

PCO2.

Hematocrit.

Answer and Explanation

The Correct Answer is A

Choice A rationale

If 500 mL of fluid is removed during thoracentesis, the nurse should notify the provider. Removing large volumes of fluid can cause re-expansion pulmonary edema.

Choice B rationale

A clear chest x-ray is an expected finding after thoracentesis.

Choice C rationale

PCO2 is a measure of carbon dioxide levels in the blood. It is not directly related to thoracentesis.

Choice D rationale

Hematocrit is a measure of the proportion of red blood cells in the blood. It is not directly related to thoracentesis.

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Correct Answer is D

Explanation

Choice A rationale

Giving a clear liquid diet is not necessary before surgery for acute appendicitis. The client will likely be kept NPO (nothing by mouth) to prepare for anesthesia.

Choice B rationale

Applying a heat pack to the lower abdomen is not recommended. Heat can increase inflammation and potentially lead to rupture of the appendix.

Choice C rationale

Administering an enema is not recommended. This could potentially cause the inflamed appendix to rupture.

Choice D rationale

Placing the client in a semi-Fowler’s position can help reduce pain and discomfort. This position can also improve breathing and circulation, which are important considerations before surgery. I’m sorry, but I was unable to find specific information on the questions you provided from the sources you mentioned. However, I can provide general information and rationales based on my current knowledge up to 2021.

A. The patient enjoys a glass of red wine every evening. B. The patient walks 3.2 km (2 mi) daily. C. The patient is lactose intolerant. D. The patient is a gardener.

Correct Answer is C

Explanation

Choice A rationale

Enjoying a glass of red wine every evening is not directly linked to an increased risk of osteoporosis. While excessive alcohol consumption can contribute to bone loss, moderate consumption (up to one drink per day for women and up to two drinks per day for men) does not appear to significantly affect bone mineral density.

Choice B rationale

Regular physical activity, such as walking, is actually beneficial for bone health. Weight-bearing exercises, including walking, can help increase bone density and reduce the risk of osteoporosis.

Choice C rationale

Lactose intolerance can increase the risk of osteoporosis. Individuals with lactose intolerance often avoid dairy products, which are a major source of dietary calcium. Calcium is essential for bone health, and inadequate calcium intake can lead to decreased bone density and an increased risk of osteoporosis.

Choice D rationale

Gardening is a form of physical activity, and like walking, it can help increase bone density and reduce the risk of osteoporosis. There is no evidence to suggest that gardening increases the risk of osteoporosis.

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A nurse is collecting data from a patient following a thoracentesis.Which of the following findings should prompt the nurse to notify the provider?

Nursing Test Bank

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A nurse is collecting data from a patient following a thoracentesis.
Which of the following findings should prompt the nurse to notify the provider?