The nurse is caring for a client who states, "I am really worried about the thoracentesis. I know I won't be able to sleep tonight." Which statement is most helpful to the client at this time?
A) "Tell me what you are worried about."
B) "Is there something that I can help you with?"
C) "Is there someone that you would like me to call to be with you?"
D) "The physician will see you before the procedure and can answer any questions."
A
Feedback:
A thoracentesis is performed by inserting a needle into the wall under local anesthesia. The thoracentesis is often done at the bedside. Providing support to the client before, during, and after the treatment is a nursing responsibility. When the client states that he is worried, asking an open-ended question promotes communication and is most therapeutic. Asking if there is something that a nurse can do is a closed-ended question. Asking about calling someone to be with the patient makes the nurse seem uninterested. Talking with the physician closes communication with the nurse, making the nurse seem uninterested.
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