In which position should the client be placed for a thoracentesis?

• A. Lying flat on the back
• B. Sitting upright and leaning forward on a table
• C. Lying on the side with the affected lung up
• D. Sitting upright with arms raised above the head

Answer: (B)

Verified step by step guidance

1. Understand the purpose of thoracentesis: It is a procedure to remove fluid or air from the pleural space in the chest.
2. Consider the anatomical position that allows the best access to the pleural space: Sitting upright and leaning forward on a table provides optimal access to the posterior pleural space.
3. Recognize the importance of gravity in fluid removal: Sitting upright helps fluid to settle at the base of the pleural cavity, making it easier to access.
4. Evaluate the need for patient comfort and safety: Leaning forward on a table supports the patient and reduces the risk of movement during the procedure.
5. Consider the role of lung expansion: Sitting upright allows for better lung expansion and reduces the risk of lung injury during the procedure.