A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?

Describe the sensations the client will feel during the procedure.

Reinforce the importance of lying still during the procedure.

Administer a sedative medication.

Determine whether the client has an allergy to local anesthetics.

Answer and Explanation

The Correct Answer is D

The priority intervention for the nurse is to determine whether the client has an allergy to local anesthetics, as this could cause a serious adverse reaction during the procedure.

Thoracentesis is a minimally invasive procedure that involves inserting a needle into the pleural space to drain excess fluid or air from around the lungs. The procedure requires local anesthesia to numb the area where the needle is inserted. Therefore, it is essential to assess for any allergy to local anesthetics before proceeding with the procedure.

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Correct Answer is B

Explanation

Toxoplasmosis is a parasitic infection caused by Toxoplasma gondii, which can be transmitted by contact with cat feces or eating undercooked meat containing cysts. The nurse should ask about the client's exposure to cats or cat litter, as this is a risk factor for acquiring toxoplasmosis, especially in immunocompromised individuals.

A. WBC count 15,000/mm3 B. Sodium 130 mg/dL C. BUN 8 mg/dL D. Hematocrit 35%

Correct Answer is A

Explanation

A high white blood cell (WBC) count is a common sign of infection and inflammation, such as pneumonia. The normal range of WBC count is 4,500 to 11,000/mm3 . Sodium, blood urea nitrogen (BUN), and hematocrit are not directly related to pneumonia and may vary depending on other factors such as hydration status, renal function, and blood loss.

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A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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