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 D

Explanation

The first action the nurse should take is to reevaluate the client's response to the medication in 30 min. Hydromorphone has an onset of action of 15 to 30 minutes when taken orally ¹. Therefore, it may take some time for the medication to reach its full eﬀect.

Option a is incorrect because it may not be necessary to contact the provider for more pain medication until after reevaluating the client's response to the medication.

Option b is incorrect because teaching relaxation techniques may not provide immediate relief for acute pain.

Option c is incorrect because documenting the client's reaction to the administration of medication should be done after reevaluating their response to the medication.

A. a. "One dose of medication is all that will be necessary." B. "Everyone who lives in the home will need medication." C. "Allow the child to take tub baths instead of showers." D. "Wash all clothes and bed linens in cold water."

Correct Answer is B

Explanation

b. "Everyone who lives in the home will need medication."

The nurse should inform the guardian that everyone who lives in the home will need medication when reinforcing teaching about enterobiasis. Enterobiasis, also known as pinworm infection, is highly contagious, and it can easily spread from person to person within the household. Treating only the aﬀected individual may not be sufficient to eliminate the infection completely, as other household members may also be infected or at risk of reinfection.

Explanation for the other options:

a. "One dose of medication is all that will be necessary." Enterobiasis is typically treated with a medication regimen that involves taking multiple doses over a period of time. This is to ensure that all stages of the pinworm life cycle are targeted and eradicated. A single dose is usually not sufficient to eliminate the infection completely.

c. "Allow the child to take tub baths instead of showers." The choice of tub baths or showers does not directly impact the treatment or prevention of enterobiasis. Both methods of bathing can be used, but it is important to maintain good hygiene practices, such as regular handwashing and proper cleaning of the perianal area, to reduce the risk of reinfection.

d. "Wash all clothes and bed linens in cold water." While proper hygiene practices and laundering of clothes and bed linens are important in preventing the spread of enterobiasis, using cold water alone may not be sufficient. Washing clothes and bed linens in hot water (at a temperature of at least 60°C or 140°F) is recommended to kill any pinworm eggs that may be present.

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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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Explanation

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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?