Saunders Respiratory Practice

What position should a client assume during a thoracentesis according to standard nursing practices?

1. The client leans over a bedside table

2. The client should sit on the edge of the bed

3. The client should lie flat on their back

4. The client should remain in a supine position

The correct answer is: The client should sit on the edge of the bed

The most appropriate position for a client during a thoracentesis is for them to sit on the edge of the bed. This position allows for optimal access to the pleural space, as leaning forward provides good exposure of the thoracic area, which is necessary for the procedure. It also helps to expand the lungs and facilitate the movement of fluid away from the area being accessed. In this position, the client's torso is slightly bent forward, which can help in reducing anxiety and discomfort during the procedure. This sitting position also aids in the proper alignment of the respiratory and cardiovascular systems, allowing for better ventilation and blood circulation. Other positions like lying flat on their back or remaining in a supine position would hinder access to the pleural space and could potentially increase discomfort for the patient. Additionally, sitting on the edge of the bed is beneficial for monitoring the patient more effectively throughout the procedure.