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

Choice C rationale

Placing the client in Fowler's position (semi-upright position) facilitates optimal chest expansion and improves ventilation by allowing the diaphragm to move more effectively and reducing the pressure on the lungs from abdominal contents. This position helps in maximizing oxygenation and reducing respiratory distress. The other positions—supine, prone, and Trendelenburg—do not offer the same level of chest expansion and can exacerbate breathing difficulties.

The correct answer is to place the client in a position that allows for maximum chest expansion and oxygenation. This is often the upright or Fowler’s position.

Choice A rationale

It is important for a client with diabetes mellitus to test the temperature of the water before bathing to prevent burns. People with diabetes often have neuropathy, which can reduce their ability to feel temperature changes, especially in their extremities. Therefore, using the wrist, which is more sensitive to temperature changes, can help ensure the water is not too hot.

Choice B rationale

Applying a heating pad to the feet is not recommended for people with diabetes. This is because the heat can cause burns, especially in those with neuropathy who may not be able to feel how hot the pad is.

Choice C rationale

Rounding the corners of toenails with a nail file is not recommended as it can lead to ingrown toenails. Instead, toenails should be cut straight across to avoid this.

Choice D rationale

While it’s important to keep skin moisturized to prevent dryness and cracking, lotion should not be applied between the toes. This area can stay moist and warm, creating an ideal environment for fungal infections.