100% satisfaction guarantee Answers 2025/2026
A nurse is assisting the provider to prepare a client for thoracentesis. The nurse should
instruct the client that which of the following positions will be used for this procedure? -
correct answer sitting while leaning forward over the bedside table - when preparing a
client for a thoracentesis, the nurse should have the client sit on the edge of the bed
and lean forward over the bedside table because this position maximizes the space
between the client's ribs and allows for aspiration of accumulated fluid and air
- when preparing a client for a thoracentesis, the nurse should not position the client
lying flat on the affected side, because it does not allow for draining the accumulated
fluid and air
- when preparing a client for a thoracentesis, the nurse should not place the client
prone, because it does not position the client for appropriate access for draining the
accumulated fluid and air
- when preparing a client for a thoracentesis, the nurse should not place the client
supine, because it does not position the client for appropriate access for draining
accumulated fluid and air
A nurse is assisting with the care for a client who has a chest tube inserted 12 hr ago.
The nurse notes a crackling sensation upon palpation of the skin on the right side of the
client's chest. The nurse should notify the charge nurse that the client is demonstrating
a clinical manifestation of which of the following complications? - correct answer
crepitus - crepitus, also called subq emphysema, is a coarse crackling sensation that
the nurse can feel when palpating the skin surface over the client's chest. Crepitus
indicates an air leak into the subq tissue, which is often a clinical manifestation of a
pneumothorax
- friction rub is a scratching or squeaking sound the nurse can hear when auscultating
the client's lungs. This condition occurs due to the pleural surfaces rubbing together. A
friction rub is a clinical manifestation of pleurisy
, - crackles, which are sometimes called rales, are wet popping sounds the nurse can
hear when auscultating the client's lungs. This condition occurs when there is fluid in the
client's airways or alveoli. Crackles are a clinical manifestation of pneumonia
- tactile fremitus is a vibration of the chest wall that the nurse can feel when palpating
the client's chest as the client repeats a syllable such as "nine-nine." increased tactile
fremitus is a clinical manifestation of pneumonia
A nurse in a provider's office is collecting data from a client who states he was recently
exposed to TB. Which of the following findings is a clinical manifestation of pulmonary
TB? - correct answer night sweats - night sweats and fevers are clinical manifestations
of TB
- pericardial friction rub is a manifestation of rheumatic carditis
- anorexia and weight loss are manifestations of TB, not weight gain
- cyanosis of the fingertips are manifestation of Raynaud's disease
A nurse is assisting with the plan of care for a client who has COPD and is
malnourished. Which of the following recommendations to promote nutritional intake
should the nurse include in the plan? - correct answer eat high-calorie foods first -
clients with COPD often experiences early satiety. Therefore, the client should eat
calorie-dense foods first
- although it is important for a client who has COPD to maintain adequate fluid intake to
prevent dehydration and inhibit the production of tenacious secretions, the client should
limit intake of water at meal times to reduce the feeling of early fullness
- the client should rest before meals to decrease dyspnea while eating
- although the client should keep foods on hand for snacking, she should avoid dry and
salty foods, which can place her at risk for aspiration and make her mouth dry