Respiratory Question #10

Question

The nurse is assessing a client following a thoracentesis and immediately reports which finding to the health care provider?

Answers

  1. Crepitus.
    • Rationale:
  2. Serous oozing from puncture site.
    • Rationale:
  3. Increased temperature to 100.4°
    • Rationale:
  4. Diminished breath sounds on the affected side.
    • Rationale:

Overview

Explanation

Crepitus following a thoracentesis may be a sign of pneumothorax, and is to be immediately reported. Serous oozing or blood oozing may occur at the affected site, and low-grade temperature and diminished breath sounds may be attributed to another condition or the procedure; however, crepitus is MOST important to report.

Learning Outcomes

Test Taking Tip

Video Rationale