A client with orthopnea expresses concern about the ability to "get enough air" during a scheduled thoracentesis. On which information should the nurse's response be based?
Extra pillows can be used if needed to elevate the client's head.
The procedure is performed with the client in an upright position.
A thoracentesis is a brief procedure that has minimal discomfort.
Orthopnea is frequently caused by a client's uncontrolled anxiety.
The Correct Answer is B
Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.
Choice B reason:
The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.
Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.
Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Demonstrating accurate eye care is important but is not a measurable outcome for managing diabetes.
Choice B reason: Managing blood pressure is important but not the primary goal in the context of newly diagnosed diabetes.
Choice C reason:
The correct answer is c) because achieving a hemoglobin A1C of less than 7% in 3 months is a measurable and relevant outcome for managing type 2 diabetes. It indicates good glycemic control and helps prevent complications.
Choice D reason: Encouraging physical activity is beneficial but is not a specific measurable outcome for diabetes management.
Correct Answer is B
Explanation
Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.
Choice B reason:
The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.
Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.
Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.
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