A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives to perform the procedure?
Gather the procedure tray and equipment.
Cleanse the site and cover with a sterile towel.
Keep the patient NPO (nothing by mouth) and encourage them to void.
Place the patient in an orthopneic position.
The Correct Answer is D
The correct answer is Choice D: Place the patient in an orthopneic position.
Choice A rationale: Gathering the procedure tray and equipment is typically the responsibility of the healthcare provider performing the thoracentesis. The practical nurse's role in this scenario would not involve assembling the necessary materials for the procedure but rather ensuring patient safety and comfort.
Choice B rationale: Cleansing the site and covering it with a sterile towel is an important step in maintaining aseptic technique during a thoracentesis. However, this task is usually performed by the healthcare provider conducting the procedure to ensure proper sterilization techniques are followed. The practical nurse's primary focus should be on patient positioning and monitoring.
Choice C rationale: Keeping the patient NPO (nothing by mouth) and encouraging them to void is not a necessary preparation for a thoracentesis. While ensuring patient comfort is important, these actions are not specifically related to the procedure itself. The practical nurse's priorities should lie in patient positioning and ongoing assessment throughout the process.
Choice D rationale: Positioning the patient in an orthopneic position is the most appropriate action for the practical nurse to take in preparing for a thoracentesis. This position, which involves sitting up and leaning forward with the elbows supported on a table or bedside stand, optimizes the patient's ability to breathe comfortably and facilitates access to the pleural space where the procedure will be performed. Proper patient positioning plays a crucial role in the success and safety of the thoracentesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Slower reaction time is a common age-related change in the neurological system. The processing of sensory information and response time may become slower in older adults due to changes in neural pathways and decreased neurotransmitter activity.
Choice B rationale:
Older adults may experience some difficulty with learning new things due to changes in cognitive function and neural plasticity. This is a common age-related effect on the neurological system.
Choice C rationale:
This statement is incorrect. Older adults typically have fewer neurotransmitters in their brains as they age, which can contribute to cognitive changes and a decline in cognitive function.
Choice D rationale:
Loss of some sense of smell and taste is an age-related change. Older adults may experience a decreased ability to detect and differentiate smells and tastes due to changes in olfactory and gustatory receptors.
Choice E rationale:
This statement is incorrect. Aging does not necessarily lead to an increase in oxygen delivery to brain cells. In fact, there may be a decrease in cerebral blood flow with age in some individuals.
Correct Answer is D
Explanation
Choice A rationale:
Prescribing medication for immediate relief is not the primary goal when establishing a therapeutic relationship with a client with anxiety disorder. While medication may be a part of the treatment plan, the primary focus should be on building trust and addressing the client's emotional needs.
Choice B rationale:
Educating the client about various relaxation techniques can be beneficial, but it is not the primary goal of establishing a therapeutic relationship. The primary goal is to create a trusting and supportive environment in which the client feels comfortable discussing their feelings and concerns.
Choice C rationale:
Assisting the client in challenging irrational thoughts is an important aspect of cognitive-behavioral therapy, but it is not the primary goal of establishing the therapeutic relationship. Building rapport and trust come first.
Choice D rationale:
Developing measurable and realistic outcomes is the primary goal when establishing a therapeutic relationship. These outcomes provide a framework for assessing progress and ensuring that the therapeutic interventions are effective in addressing the client's anxiety disorder.
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