護理師正在對準備進行胸腔穿刺 (Thoracentesis) 的病人進行衛教。病人的哪項陳述代表其理解了該程序？
A nurse is teaching a client who will undergo a thoracentesis. Which statement by the client indicates an understanding of the procedure?
- AI can eat a heavy meal right before the test我可以在檢查前立刻吃一頓豐盛的餐點
- BI will need to lie flat on my back during the procedure在進行程序時我需要平躺
- CI will be under general anesthesia for the entire time我將全程接受全身麻醉
- DI should not cough or move while the needle is inserted✓ 正解當針頭插入時我不應該咳嗽或移動
胸腔穿刺時，針頭會穿入胸膜腔。如果病人突然咳嗽或移動，針頭可能刺傷肺組織，導致氣胸。因此，病人必須配合保持靜止。B 是錯誤的，通常採坐姿伏案；C 錯誤，通常僅採局部麻醉；A 雖非禁忌，但大餐可能造成不適。
During a thoracentesis, the needle penetrates the pleural space. If the client suddenly coughs or moves, the needle may puncture lung tissue and cause a pneumothorax. The client must therefore cooperate and remain still. Option B is incorrect because the client is usually positioned sitting upright leaning over a table; option C is incorrect because typically only local anesthesia is used; option A, although not strictly contraindicated, may cause discomfort if a heavy meal is eaten beforehand.
美國護理師常需在旁協助定位並監測生命徵象；台灣多由醫師與一名助理（或實習學生）執行，責任劃分略有不同。