5. Which nursing actions should be completed before a physician performs a thoracentesis? Select all that apply.
5. Which nursing actions should be completed before a physician performs a thoracentesis? Select all that apply.
. Assessing the client for any allergy to local anesthetics.
. Teaching the client to do pursed-lip breathing during the procedure.
. Placing the client in an upright sitting position leaning forward, if able.
. Placing the client in a prone position with the side with the affected lung on a pillow.
. Making sure that the consent form is signed and in the chart.
. Telling the client not to expect discomfort.
Test-Taking Tip
Think client safety before, during, and after the procedure.
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is correct because a local anesthetic will be used to minimize pain to the puncture site. Answer 2 is incorrect because the reason for the thoracentesis is fluid in the pleural space, not in the lung. Answer 3 is correct because this position drops the diaphragm and allows for easier access to the pleural space. Answer 4 is incorrect because upright and leaning forward is the optimal position. Answer 5 is correct because the client needs to have been informed of the risks before the procedure is started. Answer 6 is incorrect because there is some discomfort, although use of the local anesthetic reduces the pain.