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 performed to remove fluid or air from the pleural space using a needle. As a practical nurse (PN), preparation for this procedure is crucial to ensure it is performed safely and efficiently.
- Gather the Procedure Tray and Equipment (C): The PN should prepare the necessary supplies and equipment for the procedure. This includes a thoracentesis tray, which typically contains a sterile needle, syringe, local anesthetic, antiseptic solution, and a sterile drape. Other equipment may include sterile gloves, a specimen container if the fluid is to be sent for analysis, and a dressing to apply after the procedure. Ensuring that all items are ready and within reach helps minimize delays and ensures that the procedure can proceed smoothly once the healthcare provider arrives.
- Place the Client in an Orthopneic Position (A): Although positioning the client correctly is important for a thoracentesis, this is generally done by the healthcare provider performing the procedure. The orthopneic position (sitting upright with arms supported) can facilitate better access to the pleural space but is typically addressed by the healthcare provider as part of the procedure setup.
- Keep the Client NPO and Encourage to Void (B): Keeping the client NPO (nothing by mouth) is not usually required for a thoracentesis. Encouraging the client to void before the procedure is good practice, as it helps to avoid any bladder distension that could interfere with the procedure. However, this is a supportive measure rather than a primary preparation task.
- Cleanse the Site and Cover with a Sterile Towel (D): Cleansing the site and covering it with a sterile towel is part of the procedure’s aseptic technique but is generally done by the healthcare provider just before the procedure begins. The PN’s role is to prepare the environment and equipment before the provider arrives.
In summary, preparing the procedure tray and ensuring all equipment is available (C) is the PN’s primary responsibility before the healthcare provider performs the thoracentesis.