Risk factors that need to be considered with thoracentesis include (Select all that apply.)

a. coagulation defects.
b. intra-aortic balloon pump.
c. pleural effusion.
d. uncooperative patient.
e. empyema.


A, B, D
No absolute contraindications to thoracentesis exist, although some risks may contraindicate the procedure in all but emergency situations. These risk factors include unstable hemodynamics, coagulation defects, mechanical ventilation, the presence of an intra-aortic balloon pump, and patients who are uncooperative. It is used most often as a diagnostic measure; it may also be performed therapeutically for the drainage of a pleural effusion or empyema.

Nursing

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A new graduate nurse assigns a NAP to provide basic ADL (activities of daily living) to several patients on the unit. The NAP obtains vital signs and helps to bathe and feed patients assigned. The nurse is:

a. accountable only for the actions performed by herself b. accountable for all of her own actions plus those of the NAP c. accountable only for the basic ADL provided by the NAP d. not accountable for anything the NAP does outside of the NAP's scope of practice

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When critiquing qualitative research, it is important to:

a. analyze the researcher's adherence to qualitative standards of investigation. b. avoid comparison of the study with other published studies to prevent bias. c. emphasize study strengths over weaknesses. d. use the same approach for both qualitative and quantitative study critiques.

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Of adolescents who become pregnant, what percentage have had a previous birth?

a. 10% b. 15% c. 19% d. 35%

Nursing

The nurse administers potassium iodide (ThyroSafe) tablets to a client who has been exposed to radiation from a nuclear weapon. The rationale for administering potassium iodide (ThyroSafe) to this client is to prevent:

1. Liver cancer. 2. Renal cancer. 3. Brain cancer. 4. Thyroid cancer.

Nursing