A client just had a thoracentesis. For which response is it most important for the nurse to observe the client?
ExplanationB. Expectoration of blood is an indication that the lung itself was damaged during the procedure; a pneumothorax or hemothorax may occur.
A. It is too soon after a thoracentesis for an infection to develop. This is important for the client to assess for several days after the procedure.
C. Increased breath sounds are anticipated because the lung is closer to the chest wall after the fluid in the pleural space is
removed.
D. A decreased rate may indicate improved gaseous exchange and is not evidence that the client is in danger
