A nurse is assisting a provider with a client who is to undergo thoracentesis. In which of the following positions should the nurse place the client?
Supine with the head of the bed flat
Sitting upright while leaning forward over pillows
Lying prone with arms extended away from the body
Trendelenburg with the head flexed
The Correct Answer is B
Choice A Reason:
Placing a patient in a supine position with the head of the bed flat is not recommended for thoracentesis. This position can increase the risk of complications such as pneumothorax and does not allow for optimal access to the pleural space where fluid accumulation occurs.
Choice B Reason:
The upright position, with the patient leaning forward over pillows, is the ideal position for thoracentesis¹²³. This position allows the healthcare provider optimal access to the pleural space and minimizes the risk of injury to other organs. It also helps the patient to remain still during the procedure, which is crucial for the accuracy and safety of the needle insertion.
Choice C Reason:
The prone position with arms extended away from the body is not suitable for thoracentesis. This position may make it difficult for the healthcare provider to access the pleural space and increases the risk of complications.
Choice D Reason:
The Trendelenburg position, with the head flexed, is not appropriate for thoracentesis. This position can cause an increase in intrathoracic pressure, which may lead to discomfort and potential complications during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
A backboard is not typically required at the bedside for a client with a seizure disorder. It is primarily used in situations where spinal immobilization is necessary, such as after a traumatic injury.
Choice B Reason:
Suction equipment is essential for a client with a seizure disorder. During or after a seizure, the client may experience difficulties with secretions or vomit, which can lead to aspiration. Suctioning helps to clear the airway and prevent aspiration pneumonia.
Choice C Reason:
Wrist restraints are not recommended for clients with seizures because they can cause injury if the client has a seizure. Instead, the focus should be on preventing falls and protecting the head during a seizure.
Choice D Reason:
Padded tongue blades are not advised and should never be used in a client with a seizure disorder. There is a risk of causing oral injury or choking if the client bites down on the tongue blade during a seizure.
Correct Answer is C
Explanation
Choice A Reason:
Chilling the dialysate prior to infusion is not a recommended practice. The dialysate should be at body temperature to prevent discomfort and potential cramping during the infusion process. Chilled dialysate can also lead to vasoconstriction and decreased efficiency of the dialysis process.
Choice B Reason:
Using clean gloves when handling dialysate bags is a standard precaution to maintain sterility and prevent infection. However, it is not the primary action the nurse should take. The focus should be on the patient's weight management and monitoring for signs of fluid overload or deficit.
Choice C Reason:
Weighing the client before and after the treatment is crucial in peritoneal dialysis. It helps to monitor the fluid balance and the effectiveness of the dialysis treatment. Weight changes can indicate whether excess fluid is being removed or if there is fluid retention, which is essential for adjusting the dialysis prescription.
Choice D Reason:
Monitoring the client for diarrhea is important as it can lead to fluid and electrolyte imbalances. However, it is not specific to the dialysis procedure itself. The nurse should monitor for signs of infection, ensure proper catheter placement, and manage the dialysate's inflow and outflow, which are more directly related to peritoneal dialysis..
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