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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A Reason:
Isolation for 24 hours after lesions appear is not typically necessary for tinea corporis, which is a fungal infection of the skin. Tinea corporis, also known as ringworm, is not usually spread through the air but rather through direct contact with an infected person or contaminated surfaces.

Choice B Reason:
Airborne precautions are not required for tinea corporis. This type of infection is caused by dermatophytes, which are fungi that infect the superficial layers of the skin, hair, or nails. These fungi are not airborne and do not necessitate the use of airborne precaution protocols.

Choice C Reason:
Administering a broad-spectrum antibiotic would not be effective against tinea corporis, as antibiotics target bacterial infections, not fungal infections. The appropriate treatment for tinea corporis is antifungal medication, which can be topical or oral depending on the severity of the infection.

Choice D Reason:
Avoiding direct contact is a key element in the management of tinea corporis. The infection can spread through skin-to-skin contact or by touching contaminated items such as clothing, towels, or bedding. Educating the client about minimizing direct contact can help prevent the spread of the infection.

A. Limit the client's physical activity until bowel continence is achieved. B. Limit the client's fluid intake to 1500 mL/day. C. Instruct the client to limit their intake of high-fiber foods. D. Assist the client to the restroom 30 minutes after meals.

Correct Answer is D

Explanation

Choice A Reason:
Limiting the client's physical activity is not generally recommended as part of bowel training for fecal incontinence. Regular physical activity can actually help with bowel movements by increasing muscle activity in the intestines. It is important for clients to maintain as much normal activity as possible.

Choice B Reason:
Limiting the client's fluid intake to 1500 mL/day is not advisable unless specifically recommended by a healthcare provider for another medical reason. Adequate hydration is essential for normal bowel function, and restricting fluids could exacerbate constipation, which can complicate fecal incontinence.

Choice C Reason:
Instructing the client to limit their intake of high-fiber foods would be counterproductive in managing fecal incontinence. A diet high in fiber can help form bulkier, softer stools, which can be easier to control. Fiber helps to regulate bowel movements, which is beneficial in bowel training programs.

Choice D Reason:
Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which is a normal response where the act of eating stimulates movement in the gastrointestinal tract. This can help the client establish a regular pattern of bowel movements, which is a key goal in bowel training for fecal incontinence.

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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?

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