Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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A client is scheduled for thoracocentesis at 8:00am. The nurse is completing the checklist for this procedure, checking that which of the following nursing activities should have been done before the procedure?
  1. The client signed the consent form(s).
  2. A chest x-ray was performed.
  3. The client was assessed for allergy to anesthesia.
  4. Instructions on positioning and breathing were given.
Explanation
Answer: B - Before the procedure a chest X-ray should be done to localize the fluid and air in the pleural cavity, in order to facilitate correct placement of the puncture site. Other important considerations include obtaining a signed consent, evaluation of anesthesia allergy, and giving instructions on the proper positioning and accurate timing of breathing to keep the other proximal organs from being punctured.
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