NURSING EXAM TEST
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1
During a thoracentesis, a needle is inserted into the pleural space to remove fluid for diagnostic
or therapeutic purposes. Before the procedure, the nurse places the client in an upright sitting
position on the side of the bed, leaning forward over the bedside table, with arms supported on
pillows. This position ensures that the diaphragm is dependent, facilitates access to the pleural
space through the intercostal spaces, and promotes client comfort.
,2
(Option 1) The fetal position is appropriate for a client having a lumbar puncture, not a
thoracentesis.
(Option 2) If unable to sit, the client can be positioned lying on the unaffected, not affected,
side.
(Option 3) Prone position is not used for this procedure, is uncomfortable, and would make it
more difficult for a client with dyspnea to breathe.
Educational objective:
Before a thoracentesis, the nurse places the client in an upright sitting position on the side of the
bed, leaning forward over the bedside table, with arms supported on pillows. This position
ensures that the diaphragm is dependent, facilitates access to the pleural space through the
intercostal spaces, and promotes client comfort.
, 3
A central line or central venous catheter (CVC) is inserted by the health care provider in a
"central" vein (eg, subclavian, internal jugular, femoral) and is used to administer fluids,
medications, and parenteral nutrition and for hemodynamic monitoring.
Proper hand hygiene should be performed when caring for a CVC to prevent infection, and
nonsterile gloves should be worn to protect the nurse from blood or body fluids at the port site
as one or more lumens are often used to draw blood (Option 3).
The Centers for Disease Control and Prevention recommend that catheter hubs always be
handled aseptically to prevent catheter-associated infections. The hubs should be disinfected
with a hospital-approved antiseptic (eg, 70% alcohol sterile pads; > 0.5% chlorhexidine with
alcohol; 10% povidone-iodine). Always allow the antiseptic to dry before using the hub/port
(Option 4).
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1
During a thoracentesis, a needle is inserted into the pleural space to remove fluid for diagnostic
or therapeutic purposes. Before the procedure, the nurse places the client in an upright sitting
position on the side of the bed, leaning forward over the bedside table, with arms supported on
pillows. This position ensures that the diaphragm is dependent, facilitates access to the pleural
space through the intercostal spaces, and promotes client comfort.
,2
(Option 1) The fetal position is appropriate for a client having a lumbar puncture, not a
thoracentesis.
(Option 2) If unable to sit, the client can be positioned lying on the unaffected, not affected,
side.
(Option 3) Prone position is not used for this procedure, is uncomfortable, and would make it
more difficult for a client with dyspnea to breathe.
Educational objective:
Before a thoracentesis, the nurse places the client in an upright sitting position on the side of the
bed, leaning forward over the bedside table, with arms supported on pillows. This position
ensures that the diaphragm is dependent, facilitates access to the pleural space through the
intercostal spaces, and promotes client comfort.
, 3
A central line or central venous catheter (CVC) is inserted by the health care provider in a
"central" vein (eg, subclavian, internal jugular, femoral) and is used to administer fluids,
medications, and parenteral nutrition and for hemodynamic monitoring.
Proper hand hygiene should be performed when caring for a CVC to prevent infection, and
nonsterile gloves should be worn to protect the nurse from blood or body fluids at the port site
as one or more lumens are often used to draw blood (Option 3).
The Centers for Disease Control and Prevention recommend that catheter hubs always be
handled aseptically to prevent catheter-associated infections. The hubs should be disinfected
with a hospital-approved antiseptic (eg, 70% alcohol sterile pads; > 0.5% chlorhexidine with
alcohol; 10% povidone-iodine). Always allow the antiseptic to dry before using the hub/port
(Option 4).
