The nurse is reviewing the female client's medical record. The nurse is preparing the client for a thoracentesis. Select the 4 actions that the nurse should take.

A. Inform the client that they will need to fast 4hr prior to the procedure: Fasting is generally not required for a thoracentesis unless moderate sedation or general anesthesia is planned. Routine thoracentesis is often performed with local anesthesia only, so strict fasting is unnecessary. B. 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. Educating about needle insertion and fluid removal is essential for informed cooperation. C. Obtain informed consent from the client: Informed consent is required for thoracentesis because it is an invasive procedure with risks such as pneumothorax, bleeding, and infection. The nurse must verify that consent is signed before proceeding. D. Inform the client they will be sedated for the procedure: Many thoracenteses use local anesthesia with minimal sedation. Informing the client about sedation ensures understanding of the procedure and preparation for comfort measures, especially if moderate sedation is used. E. Place the client in an upright position leaning over a bedside table: Proper positioning facilitates optimal access to the pleural space and improves patient safety and comfort. This upright posture with arms resting on a table is standard practice for thoracentesis. F. Administer a cough suppressant to the client prior to the procedure: Suppressing cough is not routinely indicated before thoracentesis. The client may need to cough or take deep breaths during or after the procedure to prevent complications, so routine cough suppression is not recommended.