A 55-year-old male patient with a history of lung cancer and pleural effusion is scheduled for a thoracentesis to drain fluid from the pleural space. Which of the following actions should the nurse take when prepping the patient for the procedure?

When prepping a patient for a thoracentesis, the nurse should position the patient sitting upright and leaning forward with arms supported. This position allows for optimal visualization of the puncture site and helps the patient breathe more easily during the procedure

A 40-year-old male patient has just undergone a lumbar puncture for the evaluation of his meningitis. Which of the following nursing interventions is appropriate for this patient post-lumbar puncture? Select all that apply

After a lumbar puncture, the nurse should monitor the patient for neurological changes, such as headache, nausea, vomiting, or changes in vision, and report any abnormalities to the healthcare provider immediately. Headache is a common complication of lumbar puncture and can be caused by cerebrospinal fluid leakage from the puncture site.

Placing the client on his back and having him roll side to side reduces the risk of severe headache.

Administering a bolus of IV fluid can increase the risk of cerebral edema.

Do not Encourage the patient to resume normal activities immediately after the procedure , the patient may need to rest and limit physical activity for a period of time after the procedure to prevent complications.

A 65-year-old male patient has just undergone a femoral arteriogram to assess his peripheral vascular disease. Which of the following nursing interventions is appropriate for this patient post-procedure?

APPLY A PRESSURE BANDAGE IMMEDIATELY AFTER the procedure

Explanation: After a femoral arteriogram, the nurse should monitor the patient's affected leg for signs of bleeding or hematoma, such as swelling, pain, and discoloration. Bleeding and hematoma are common complications of femoral arteriogram, and prompt intervention can prevent further complications. Ambulating the patient immediately after the procedure (A) is not recommended, as the patient may be at increased risk for bleeding and hematoma formation.

Instructing the patient to drink plenty of fluids to flush out the contrast dye is appropriate, but this is not the priority intervention in the post-procedure care of the patient.

A 50-year-old female patient with type 2 diabetes is scheduled for a renal function test that requires intravenous contrast dye. Which of the following nursing actions is appropriate regarding the patient's medication regimen?

Metformin can increase the risk of contrast-induced nephropathy, a potential complication of intravenous contrast dye administration. Therefore, the patient should hold metformin for 48 hours prior to the test to reduce the risk of this complication.

Insulin does not need to be held for the test, as it does not increase the risk of contrast-induced nephropathy.

The nurse is taking care of a 57 year-old patient that is scheduled to have a paracentesis. The nurse knows that she will have to ensure that which of the following actions occurs prior to the beginning of the procedure. Select all that apply

Assisting the patient to void before the procedure is important for patient safety, especially in patients with a history of bladder dysfunction. Administering a painkiller may or may not be necessary depending on the patient's medical condition and pain level, but it is not a routine part of the procedure. Providing a meal before the procedure is not recommended, as the patient may need to fast before the procedure. Allowing the patient to eat or drink during the procedure is not recommended, especially in patients with a high risk of aspiration.