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    Ati Rn Adult Medical Surgical 2023 Proctored Exam

    A nurse is caring for a client who had a thoracentesis 2 hr ago. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. While some coughing can occur during the procedure, a persistent dry, nonproductive cough 2 hours post-procedure is not an expected finding and may indicate irritation or complications. B. Rapid, shallow respirations (tachypnea) are not expected after a thoracentesis. This may indicate pneumothorax, pain, or respiratory distress, which require immediate assessment and intervention. C. Thoracentesis is performed to remove fluid or air from the pleural space, which relieves compression on the lungs. Improved lung expansion and easier breathing are expected outcomes, reflecting effective drainage of the pleural effusion or pneumothorax. D. Crepitus, or subcutaneous air, at the puncture site is not expected and may indicate air leakage from the lung into subcutaneous tissue, which is a complication that needs evaluation.

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