A patient presents moderately short of breath and dyspneic
A chest radiographic examination reveals a large right pleural effusion with significant atelectasis. The physician or nurse practitioner would be most likely to order which of the following procedures?
a. Thoracentesis
b. Bronchoscopy
c. Ventilation/perfusion (V/Q) scan
d. Repeat chest radiograph
A
Thoracentesis is a procedure that can be performed at the bedside for the removal of fluid or air from the pleural space. It is used most often as a diagnostic measure; it may also be performed therapeutically for the drainage of a pleural effusion or empyema. No evidence is present that would necessitate a V/Q scan. A bronchoscopy cannot assist in fluid removal. A problem with this chest radiograph is not indicated.
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