The nurse is preparing a tired older patient for a thoracentesis. Which ability should the nurse assess for when determining if the patient can tolerate the procedure safely?
a. Cough only when requested.
b. Swallow and clear the throat.
c. Remain sitting but motionless.
d. Inhale during needle insertion.
C
The nurse should assess the patient's ability to remain motionless in a sitting position during the procedure so the provider can precisely place the needle in the fluid without puncturing adjacent structures inadvertently, including the heart and great vessels. The nurse instructs the patient to avoid coughing and throat clearing during a thoracentesis to prevent accidental injury. The nurse instructs the patient to hold his or her breath during a thoracentesis to prevent accidental injury to adjacent thoracic structures.
You might also like to view...
A pregnant client tells the nurse that she is having leg cramps. Which of these suggestions should the nurse offer?
a. Wear low-heeled shoes. c. Pull toes toward the knees. b. Apply ice packs to the legs. d. Avoid fluids containing caffeine.
Which criterion is suggestive of pathologic rather than physiologic jaundice?
a. Visible jaundice in the first 24 hours of life b. Total serum bilirubin concentration of 14 milligrams per deciliter in a premature infant on the fifth day of life c. Direct serum bilirubin concentration of 0.5 milligrams per deciliter d. Visible jaundice at 1 week of life in a preterm infant
The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?
a. "If you experience painful nipples, cleanse your nipples with soap two times per day and keep your nipples covered as much as possible." b. "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions." c. "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and apply warm compresses." d. "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting bra at night."
The care a nurse provides to clients is considered as being a benefit to their health and recovery. The principle that supports the nurse's behavior is considered:
1. autonomy. 2. nonmaleficence. 3. beneficence. 4. justice.