A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of the

following statements by the client indicates an understanding of the information?

I will have general anesthesia during the procedure.

I will lie ﬂat for 6 hours following the procedure.

I will have a chest x-ray following the procedure

I will breathe deeply through my nose during the procedure

Answer and Explanation

The Correct Answer is C

c. "I will have a chest x-ray following the procedure."

Explanation:

The statement that indicates an understanding of the information provided is "I will have a chest x-ray following the procedure."

Explanation for the other options:

a. "I will have general anesthesia during the procedure":

This statement is incorrect. Thoracentesis is typically performed using local anesthesia, which numbs the area where the needle will be inserted. General anesthesia, which induces a state of unconsciousness, is not usually required for this procedure.

b. "I will lie ﬂat for 6 hours following the procedure":

This statement is incorrect. While the client may be advised to lie still for a short period after the thoracentesis, it is not necessary for them to lie ﬂat for a full 6 hours. The specific post-procedure instructions may vary depending on the client's condition and the healthcare provider's preferences.

d. "I will breathe deeply through my nose during the procedure":

This statement is incorrect. During a thoracentesis, the client is typically asked to sit upright and lean forward to allow beter access to the space between the lungs and chest wall. They may be instructed to take slow, deep breaths and hold their breath for short periods as needed during the procedure to help maintain proper positioning and reduce the risk of complications.

In summary, the statement that demonstrates an understanding of the thoracentesis procedure is "I will have a chest x-ray following the procedure." This indicates the client's awareness of the need for a post- procedure chest x-ray to evaluate the results and ensure the absence of any complications.

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Correct Answer is C

Explanation

Answer: C. Change the perineal pad with each void.

Rationale:

A) Cleanse the perineal area from back to front: Cleansing from back to front is not recommended as it increases the risk of introducing bacteria from the anal area to the perineal wound, potentially leading to infection. The correct technique is front-to-back cleansing to prevent contamination.

B) Wash the perineal area with povidone-iodine twice daily: Povidone-iodine is not typically recommended for regular perineal care postpartum, as it can disrupt normal flora and potentially irritate the healing tissues. Using warm water and mild soap is safer for cleansing the area.

C) Change the perineal pad with each void: Changing the perineal pad with each void helps maintain cleanliness and reduces moisture in the perineal area, decreasing the risk of infection and promoting comfort during the healing process of an episiotomy.

D) Wipe the perineal area with a soft cloth: Wiping the area can disrupt the stitches and may cause discomfort. Instead, clients are usually advised to gently pat dry or use a squirt bottle to cleanse, which reduces pressure on the healing tissue.

A. Tachycardia B. Mental alertness C. Hyperreﬂexia D. Pinpoint pupils

Correct Answer is D

Explanation

d. Pinpoint pupils.

Explanation:

Opioid intoxication is characterized by various signs and symptoms, including central nervous system depression. One common manifestation of opioid intoxication is pinpoint pupils (miosis), which is caused by the eﬀect of opioids on the pupillary constrictor muscles. The pupils become constricted and appear as small dots, hence the term "pinpoint."

The other options are not typical manifestations of opioid intoxication. Tachycardia (rapid heart rate) is more commonly associated with stimulant use rather than opioids. Mental alertness is typically reduced in cases of opioid intoxication, as opioids cause sedation and CNS depression. Hyperreﬂexia (exaggerated reﬂexes) is not a typical finding in opioid intoxication; instead, it may occur in withdrawal from certain substances such as alcohol or benzodiazepines.

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A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of the following statements by the client indicates an understanding of the information?

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A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of the

following statements by the client indicates an understanding of the information?