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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Bronchoscopy is used for visualizing the airways and not for treating a pneumothorax.

Choice B reason:

The correct answer is b) because absent breath sounds on one side and increasing dyspnea suggest a pneumothorax, which requires chest tube insertion to re-expand the lung.

Choice C reason: Endotracheal intubation is for airway management but does not address the underlying pneumothorax.

Choice D reason: Pulmonary function tests are not relevant in an emergency situation with suspected pneumothorax.

A. Place an indwelling urinary catheter and attach a bedside drainage unit. B. Give a prescribed analgesic for temperature above 101°F (38.3°C), orally. C. Send the client to x-ray for a flat plate of the abdomen. D. Insert a nasogastric tube (NGT) and attach to low intermittent suction (LIS).

Correct Answer is D

Explanation

Choice A reason: Placing an indwelling urinary catheter is not immediately relevant to the client's symptoms.

Choice B reason: Giving an analgesic for a fever does not address the underlying issue of bowel obstruction.

Choice C reason: Sending the client to x-ray can help diagnose the issue but is not the first action to relieve symptoms.

Choice D reason:

The correct answer is d) because inserting a nasogastric tube and attaching it to low intermittent suction helps decompress the stomach and relieve symptoms of bowel obstruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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