A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?
A.
Place the client in an orthopneic position
B.
Keep the client NPO and encourage to void.
C.
Gather the procedure tray and equipment.
D.
Cleanse the site and cover with a sterile towel.
The correct answer and Explanation is :
The correct answer is C. Gather the procedure tray and equipment.
Explanation:
A thoracentesis is a procedure in which fluid is removed from the pleural space (the space between the lungs and the chest wall). It can be done at the bedside or in a clinical setting. While preparing for the procedure, the practical nurse (PN) plays an important role in ensuring that everything is ready for the healthcare provider.
Why C is correct (Gather the procedure tray and equipment):
- The PN is responsible for gathering all necessary sterile equipment and supplies, such as a thoracentesis tray, sterile gloves, antiseptic solution, local anesthetic, a syringe, and sterile dressings. These materials must be prepared in advance to ensure the procedure runs smoothly without delay.
- Ensuring the availability of the necessary equipment is critical, as it allows the healthcare provider to focus on performing the procedure safely and efficiently.
Why the other options are incorrect:
- A. Place the client in an orthopneic position:
Although proper positioning is important during a thoracentesis, this will usually be done right before the procedure, and the healthcare provider may direct how to position the client. The PN may assist with positioning, but this is not the first priority. - B. Keep the client NPO and encourage to void:
NPO (nothing by mouth) is not typically required for thoracentesis unless there are specific instructions from the provider. Encouraging the client to void can be helpful to ensure comfort during the procedure, but it’s not a key preparation step before gathering the equipment. - D. Cleanse the site and cover with a sterile towel:
Cleansing the site is part of the sterile procedure and is typically performed by the healthcare provider or directed by them once they arrive. Preparing the site too early could compromise the sterile field.
Therefore, gathering the equipment is the PN’s most essential role before the healthcare provider arrives to perform the thoracentesis.