A patient develops severe dyspnea, chest pain and a falling oxygen saturation immediately after thoracentesis. Which action should the nurse take first?
Correct answer: C. Assess the patient, apply oxygen and notify the provider urgently
- A. Place the patient flat and leave the room
- B. Stop observation until the procedure report is completed
- C. Assess the patient, apply oxygen and notify the provider urgently
- D. Encourage forceful coughing to remove pleural fluid
Explanation
Sudden respiratory distress after thoracentesis may indicate a pneumothorax, so airway and breathing assessment with oxygen support takes priority. Urgent medical review is required; lying flat and forceful coughing may worsen the patient's distress.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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