The nurse is caring for a client in the immediate post-thoracentesis period. In which position is the client placed?

Prone with a pillow under the head

Lying on the unaffected side

In the high Fowler's position

In the supine position

Answer and Explanation

The Correct Answer is C

A. Prone with a pillow under the head: The prone position is not appropriate after thoracentesis as it can restrict chest expansion and complicate breathing, especially after removal of pleural fluid.
B. Lying on the unaffected side: This position may be used in certain cases, such as after a lung biopsy, but is not the standard post-thoracentesis position. It doesn’t promote optimal lung expansion or drainage.
C. In the high Fowler's position: High Fowler's position allows for maximum lung expansion and ease of breathing. It also helps facilitate drainage of any remaining pleural fluid and is the preferred position after thoracentesis.
D. In the supine position: Lying flat may impair respiratory effort, especially in clients who just had fluid removed from the pleural space. This position is not ideal for respiratory recovery post-procedure.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Maintain activity restriction to bedrest: Bedrest reduces the heart's workload by minimizing physical exertion, thereby decreasing myocardial oxygen demand. This is crucial in cardiogenic shock, where the heart's pumping ability is severely compromised.
B. Limit interaction with visitors: While excessive stimulation can be stressful, limiting social interaction has a minimal impact on myocardial oxygen consumption compared to physical activity. Emotional support from visitors can actually benefit the client’s overall well-being.
C. Avoid heavy meals: Heavy meals may cause postprandial increases in metabolic demand, but they are not as directly impactful on cardiac workload as restricting physical activity. Meal composition should still be considered, but it's not the most immediate priority.
D. Arrange personal care supplies nearby: Placing supplies within reach helps minimize exertion during ADLs, but this is a supportive measure. Complete activity restriction is a more direct and effective intervention to reduce cardiac oxygen demand in the acute phase.

A. Dextromethorphan B. Pseudoephedrine C. Diphenhydramine D. Fluticasone

Correct Answer is A

Explanation

A. Dextromethorphan: Dextromethorphan is an antitussive commonly used to suppress non-productive coughs. It acts on the cough center in the medulla to reduce the frequency and intensity of coughing, making it ideal for nighttime relief.
B. Pseudoephedrine: Pseudoephedrine is a decongestant that reduces nasal congestion by vasoconstriction. It does not suppress cough and can actually cause insomnia due to its stimulant effects, making it inappropriate for nighttime use.
C. Diphenhydramine: Diphenhydramine is an antihistamine that may have mild cough suppressant properties and cause sedation. Its primary action is to block histamine receptors, which is more useful for allergic reactions and related symptoms like runny nose or itching. It's not a direct cough suppressant.
D. Fluticasone: Fluticasone is a corticosteroid typically used as a nasal spray for allergic rhinitis. It is not effective for acute cough relief and has no role in suppressing a dry, nighttime cough.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client in the immediate post-thoracentesis period. In which position is the client placed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client diagnosed with cardiogenic shock. Which nursing intervention is most helpful to decrease myocardial oxygen consumption?

Correct Answer is A

Explanation

The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

Correct Answer is A

Explanation

The client has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?

The nurse is interviewing a client who is being admitted for possible mitral regurgitation. Which historical fact is of greatest value to the nurse?

The nurse would screen a client from which ethnic background for hypertension at an early age?

The nurse is providing a gentle massage on a painful area of a client's hip. What is the goal of the nurse in providing this intervention?

The nurse is caring for a client in the irreversible stage of shock. The nurse is explaining to the client's family the poor prognosis. Which would the nurse be most accurate to explain as the rationale for imminent death?

One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?

A client is being evaluated for an eating disorder. Which nursing assessment finding(s) is most indicative of a client with bulimia nervosa? Select all that apply.

A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling?