A nurse working in the emergency department (ED) is admitting a client. Exhibits The nurse is preparing the client for a thoracentesis. Select the 4 actions that the nurse should take.

A. Place the client in an upright position leaning over a bedside table – This position allows for optimal access to the pleural space and facilitates gravity-assisted drainage of pleural fluid. B. Inform the client they will be sedated for the procedure – Thoracentesis is typically performed under local anesthesia, not sedation, unless the client has specific complications or needs. C. Obtain informed consent from the client – Thoracentesis is an invasive procedure, and informed consent is required to ensure the client understands the risks, benefits, and alternatives. D. Explain that a needle will be inserted in the pleural space to withdraw fluid – Providing a clear explanation of the procedure helps reduce anxiety and ensures the client understands what to expect. E. Administer a cough suppressant to the client prior to the procedure – A cough suppressant can help prevent the client from coughing during the procedure, reducing the risk of complications such as needle displacement or injury. F. Inform the client that they will need to fast 4 hr prior to the procedure – Fasting is not required for a thoracentesis. This procedure is usually performed with the client awake and does not involve general anesthesia.