A licensed practical nurse (LPN) is helping prepare a patient for a thoracentesis. What should the nurse include in the teaching? (Select all that apply.)
a. "You will need to be NPO for 6 hours."
b. "You will need to sign a consent form for the procedure."
c. "You will assume a sitting position at the side of the bed."
d. "This is a sterile procedure, so the site will be covered in a drape."
e. "You will need to take frequent deep breaths during the procedure."
f. "The doctor will collect fluid from the space between your lung and your chest wall."
ANS: B, C, D, F
Thoracentesis is a sterile procedure done at the bedside, in which the physician uses a needle to withdraw and collect fluid from the potential space between the lung and the chest wall. The procedure is usually done with the patient in a sitting position. Consent is required because it is invasive. A. NPO status is not necessary for thoracentesis as patients only receive a local anesthetic. E. The patient will be asked to take a deep breath and hold it while the needle is being inserted—frequent deep breaths are not used.
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