Bear in mind that the lung is a moving structure and that the depth of fluid may vary with respiration. Thoracentesis or pleural tap, is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. A thoracentesis is usually done at a hospital and takes about 15 minutes. If there is any doubt, pleural fluid should be sent for diagnostic analysis (see below); in practice, diagnostic analysis is almost always necessary. Thoracentesis can help diagnose health problems such as: Congestive heart failure (CHF), the most common cause of pleural effusion Viral, fungal, or bacterial infections Cancer Systemic lupus erythematosus (SLE) and other autoimmune disease Inflammation of the pancreas (pancreatitis) *Blunt, crushing, or penetrating chest 2015 Jan-Dec;2. doi:10.1177/2373997515600404. Always tell your health provider if this applies to you. U2L*Ump@)REwdMkEEbW5 0I`-zQG(4H= a_.\iK Therapeutic thoracentesis is associated with the same complications as diagnostic thoracentesis, including vasovagal reaction, pneumothorax, pleural infection, and hemothorax. bleeding (hypotension, reduced Hgb level) Serious complications are uncommon, but may include a collapsed lung or pulmonary edema, a condition in which too much pleural fluid is removed. The pleura is a double layer of membranes that surrounds the lungs. Its placed by a surgeon, pulmonologist or radiologist. Your head and arms rest on a table. onset of chest pain and cyanosis. Wiederhold BD, Amr O, O'Rourke MC. bandage, Check vital signs, record weight, and measure abdominal girth, Administer IV fluids or albumin as prescribed, Assist patient into a comfortable position with HOB elevated to Typically, a healthcare provider will perform the thoracentesis, with nurses assisting before and after the procedure. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020354/), (https://www.merckmanuals.com/professional/pulmonary-disorders/how-to-do-pulmonary-procedures/how-to-do-thoracentesis). Diagnostic thoracentesis, or aspiration of a pleural effusion, is done to look for a cause for the effusion. Chemotherapy administration into pleural cavity requiring thoracentesis: 764639: Education about disorders requiring anticoagulation therapy: 419137 . Your healthcare provider will explain the procedure to you. Pleural effusions of unknown origin and parapneumonic effusions almost invariably require thoracentesis. Nature of the procedure or treatment and who will perform the procedure or treatment. During the thoracentesis, your doctor removes fluid from the pleural space. (Select all that apply.) Hawatmeh A, Thawabi M, Jmeian A, et al. A diagnostic thoracentesis may be repeated if initial results fail to yield a diagnosis. If so, you will be given a Using either a rigid bronchoscope or flexible fiber optic bronchoscope -visualization of abnormalities -biopsy of suspicious tissue ( ex lung cancer) -aspiration of deep sputum or lung abcesses for C & S test, Doorbell Chime Humming After Nest Install. htP_HSQ?]NQswa&)LM Before thoracentesis is performed, a chest x-ray will usually be ordered to confirm the presence of a pleural effusion and to establish the precise location. 5. All of the exams use these questions, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, EDUC 327 The Teacher and The School Curriculum Document, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Analytical Reading Activity 10th Amendment, Kami Export - Athan Rassekhi - Unit 1 The Living World AP Exam Review, Entrepreneurship Multiple Choice Questions, Chapter 1 - Summary Give Me Liberty! Access puncture site dressing for drainageWeight the pt. 2lCZe[u)S?X1%D+Jk -hEn( URq%6|1p?/ Cb ok+]'aIjLnu'$ftn It can be done as an outpatient procedure, which means youre able to go home afterward. pleural fluid. for a day or two. You may have any of the below: You may have your procedure as an outpatient. Preprocedure nursing actions bronchoscopy. Client should remain absolutely still (risk of 1. Tell your provider if you have chest pains or feel short of breath or faint. Pleural fluid analysis is used to help diagnose the cause of accumulation of fluid in the chest cavity (pleural effusion). CPT 32555: Pleural space aspiration with imaging guidance utilizing thoracentesis, needle, or catheter. With modern techniques, thoracentesis only rarely causes significant side effects. Thoracentesis is a safe procedure with low risk for complications. Appointments 216.444.6503 Ask your provider if you have any restrictions on what you can do after a thoracentesis. Add to cart. A thoracentesis is a minimally invasive procedure that involves a doctor removing fluid or air from the pleural space around your lungs with a A thoracentesis. Relative contraindications include coagulopathy and infection over the procedure site. The lab will look for signs of infectious diseases or other causes of pleural effusion. Pneumothorax: this complication occurs in approximately one in ten cases. procedure to minimize their anxiety. your healthcare provider which risks apply most to you. questions you have. *Monitor vitals,Auscultate lungs for a What happens during the procedure? Healthcare providers use thoracentesis to test the fluid for diseases or to relieve symptoms. Blood culture bottles 4. The procedure itself usually takes around 15 minutes, though set up and clean up will take longer. needle. anesthetic medicines (local and general), Take any medicines, including prescriptions, over-the-counter provider, Blood or other fluid leaking from the needle site. Safe and effective bedside thoracentesis: a review of the evidence for practicing clinicians. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. by your healthcare provider. Complications can include pneumothorax, puncture of lung tissue, cystic masses, empyema or mediastinal structures. Sockrider AM, Lareau S, Manthous C. American Thoracic Society. way the procedure is done may vary. Most commonly, people have thoracentesis when they are fully awake. Thoracentesis helps determine the cause of the excess fluid. Its used to test the fluid for infection or other illnesses and to relieve chest pressure that makes it tough to breathe. Thoracentesis pre-procedure The patient is repositioned as appropriate for his or her comfort and respiratory status. After analysis, you might hear your clinician refer to the pleural fluid as a transudate or as an exudate. Exudates are thicker fluids that occur when some sort of inflammatory fluid is leaking out from cells. The diagnostic thoracentesis procedure will use to determine the source of the fluid buildup. Dont hesitate to ask if you have any questions about how the procedure works or how to best interpret the results from your procedure. Your provider will numb your skin before putting the needle in. Diagnostic thoracentesis is indicated for differential diag-nosis for patients with pleural effusion of unknown etiol-ogy. A small amount of fluid between these two layers helps them move smoothly past each other when your lungs get bigger and smaller as you breathe. *Monitor for diminished breath sounds, Reexpansion pulmonary edema after therapeutic thoracentesis. Thoracentesis is defined as introducing a hollow needle into pleural cavity and aspirating fluid or air, using aseptic technique. Thoracentesis, commonly known as a pleural tap or chest tap, is a procedure where excess pleural fluid is drained from the pleural space for diagnostic and/or therapeutic reasons. decrease in or absence of breath sounds. Which of the following findings should the nurse expect - Joint pain 18) A nurse is reinforcing dietary teaching with a client who has a new diagnosis of GERD about foods to avoid because they worsen the manifestations of GERD. The patient should be positioned appropriately. Diagnostic thoracentesis, or sampling of a pleural effusion using a needle through the chest wall, is a simple procedure done to look for the cause of a pleural effusion. ATI CRITICAL CARE PROCTORED EXAM 1.Before PFT's how long should a patient refrain from smoking? They might wait a few minutes after this step to make sure the area is numb. x\YoZ!YNLSM+f@Q KS}J A C~KpR\\|g!lZEokqwxl}{2lx:m4g4woovVwm\nm\3'rc3ns+~?X>:u_?Zv(A~{V !vOVKyZ?7h5o_7?z*[jR)- Fluid in the pleural space appears anechoic and is readily detected above the brightly echogenic diaphragm when the patient is in a supine position. Thoracentesis to remove the excess air or fluid to Ease breathing, Thoracentesis Procedure Nursing Responsibilities Indications:- To relieve pain, dyspnoea, and symptoms of pressure, Emphysema, Malignant pleural effusion, For diagnosis e.g. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. *Exuadates (inflammatory, infectious, Diagnostic thoracentesis Indicated for almost all patients who have pleural fluid that is new or of uncertain etiology and is 10 mm in thickness on computed tomography (CT) scan, ultrasonography, or lateral decubitus x-ray (see figure Diagnosis of Pleural Effusion ) Thoracentesis is a procedure that removes pleural fluid for diagnostic and/or therapeutic purposes. Pleural Effusion [online], eMedicine.com. The File Upload, PN pharmacology 2020 ATI proctored assessment exam, 1.Review the questions taken this week and identify 2 that you found interesting, challenging, and/or confusing. Current Diagnosis & Treatment in Pulmonary Medicine. It is the responsibility of the provider, not the nurse, to explain the procedure to the client. If you are having outpatient thoracentesis, contact your healthcare provider promptly if you experience symptoms after going home, like: Most people dont need to get medical imaging done after thoracentesis. At the same time, the therapeutic thoracentesis procedure will use to alleviate the symptoms. Its easy to get worried even before you even have results. watched. Someone will clean the skin around the area where the needle is to be inserted. INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N): _ CONSENT: [_] During the informed consent discussion regarding the procedure, or treatment, I explained the following to the patient/designee: a. needle goes in. Using an inhaler? appearance, cell counts, protein and glucose The depth of fluid may vary with inspiration and expiration. How to prepare for a thoracentesis: There are many indications for thoracentesis that can generally be categorized under one of two headings: Diagnostic: Evaluation of pleural fluid to diagnose primary disease process. Types of Pneumothorax according to pathophysiology. In addition, ultrasound can precisely identify the location of the fluid so that the chest wall can be marked in preparation for thoracentesis. Ultrasound may also be used during the procedure to guide needle insertion. Removing the fluid might cause you some discomfort, but it shouldnt be painful. Your healthcare provider will give you specific instructions on how to prepare for a thoracentesis. stream Procedures might include: Thoracentesis. -empyema 3). You may get an infection in your wound, or in the lining of your abdomen. Ultrasound guidance can be used for several pleural access procedures that are performed at the bedside including thoracentesis, catheter insertion, and needle aspiration biopsy of pleural or subpleural lung masses. 10 tips for encouraging sharing (and discouraging self-interest) this Christmas. Which of the following information should the nurse include in the teaching - You will lean forward on the over bed table for this procedure. Which of the following action should the nurse take? Thoracentesis is a common procedure, with nearly 180,000 done each year in the U.S. alone. (3) Administer anesthetic (1-2% lidocaine) with a subcutaneous wheal using a 25-gauge needle. When this happens, its harder to breathe Thoracentesis can be done as frequently as every few days for certain conditions. Using ultrasound to guide this procedure can decrease the very high complication rate associated with it. procedure. National Heart, Lung, and Blood Institute. Explain procedure to the client & to his relatives to win his confidence & cooperation 2. hypovolemia, or changes in mental status, Monitor puncture site for bleeding or Stone CK, Humphries RL. Lying in bed on the unaffected side. -normal breath sounds Blood clots in your lungs (pulmonary embolism). Your provider will let you know what they find and what it means for your health. Thoracentesis is a medical procedure to remove some fluid between the lungs and the chest wall. The Medical-Surgical Nursing video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX. Thoracentesis is a procedure to remove fluid from the space between the lining of the outside of the lungs (pleura) and the wall of the chest. A diagnostic test includes all diagnostic x-ray tests, all diagnostic laboratory tests, and other diagnostic tests furnished to a beneficiary. NCLEX Connection: Reduction of Risk Potential, Diagnostic Tests *Mediastinal shift (shift of thoracic structures How is it used? Completion of procedure. Find more COVID-19 testing locations on Maryland.gov. The needle or tube is removed when the procedure is completed. Inside the space is a small amount of fluid. A nurse is assisting the provider who is performing a thoracentesis at the bedside of a client. Sterile gloves . Course Hero is not sponsored or endorsed by any college or university. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. the nurse should expect the provider to order which of the following diagnostic tests? Refractory ascites. 3. infection. Used to obtain specimens for diagnostic evaluation, instill meds into pleural space, remove fluid (effusion) or air from pleural space for therapeutic relief Site draped with sterile dressing. Note: I am a first year nursing student and i have this case presentation, i. These commonly include shortness of breath, chest pain, or dry cough. Indications Top. Diagnostic approach to pleural effusion. Heparin: 6 hours prior to procedure; Low molecular weight heparin: 12 hours prior to procedure Bridge with LMW heparin for patients at high risk of thrombotic event. Removes pressure of patients needing to go the ER or being admitted for routine drainages 3. The space between these two areas is called the pleural space. If there is a large amount of fluid, tubing may be attached to the *Pneumothorax 1,2. several hours after thoracentesis. Doru Paul, MD, is board-certified in internal medicine, medical oncology, and hematology. For example, it is likely you will need thoracentesis if you have a new pleural effusion and if the medical reason for it is not clear. A contrast may Unformatted text preview: ACTIVE LEARNING TEMPLATE: Diagnostic Procedure Lorri McNeal STUDENT NAME_____ Thoracentesis PROCEDURE NAME_____ REVIEW MODULE CHAPTER_____ Description of Procedure Surgical perforation of the chest wall and pleural space with a large-bore needle.It is performed to obtain specimens for diagnostic evaluation, instill Thoracentesis Thoracentesis (THOR-ah-sen-TE-sis) is a procedure to remove excess fluid in the space between the lungs and the chest wall. With proper training in both thoracentesis itself and the use of bedside ultrasonography, providers can perform this procedure safely and successfully. This is Thoracentesis is done either to relieve your symptoms or to test the fluid around your lungs (or both). Hanley ME, Welsh CH. The Safe-t-Centesis needle was then introduced through the skin incision into the pleural space using negative aspiration pressure and the red colormetric indicator to confirm appropriate positioning of the needle. It is most often used to diagnose the cause of pleural effusion, the abnormal accumulation of fluid in the pleural space. By Ruth Jessen Hickman, MD complications of thoracentesis ati. Patients undergoing early paracentesis Diagnostic Thoracentesis: Well within the emergency medicine physician's scope of practice There are several known complications of thoracentesis including pneumothorax (as high as 6%), cough, infection and less common complications including hemothorax, splenic rupture, reexpansion pulmonary edema (uncommon in general but especially so in . Parenting information is available at Parenthub.com.au, The Medical System Bulk Billing & Medicare. The pleural space is the area outside your lungs but inside your chest wall. Now is your chance to get an idea of what to expect. Thoracentesis may be done to find the cause of pleural effusion. RN VATI Adult Medical Surgical 2019 CLOSE Question 72 loaded rationals provided. Make a small cut in your skin (incision) and insert another needle between your ribs to take out fluid. Depending on the situation, it may be performed in a hospital or at a practitioners office. You may have imaging tests before the procedure. If you had an outpatient procedure, you will go home when Saguil A, Wyrick K, Hallgren J. chest wall, respiratory distress, sudden Thoracentesis. View more information about myVMC. However, like all other medical procedures, it does come with some risks, such as: hoarseness. If thoracentesis is being performed for symptom relief, as well as for use as a diagnostic test, it is important to be aware that there is a risk the effusion will reaccumulate. Watch movement of diaphragm for a few respiratory cycles to determine how cephalad the diaphragm moves and mark a location for needle insertion above the that point to insure avoiding the diaphragm during the procedure. If you are having a diagnostic thoracentesis, your fluid will be sent to the lab for analysis. showed a trend towards reduction in Removal of this fluid by needle aspiration is called a thoracentesis. The needle or tube is inserted through the skin, between the ribs and into the chest. That just means that your healthcare provider needs more information to determine the cause of your medical problems. However, some people need to have thoracentesis repeated if a pleural effusion comes back due to their underlying medical condition. Ati: Chapter 17 Respiratory Diagnostic Procedures Ati: Chapter 18 Chest Tube Insertion And Monitoring Ati: Chapter 20 Acute Respiratory Disorders Diagnostic procedures for lung cancer-chest x-ray and CT scan -CT guided needle aspiration -bronchoscopy with biopsy -TNM system for staging -T-Tumor -N-Nodes -M-Metastasis. Salmonella Ati: 42900587: teriflunomide 14 MG Oral Tablet [Aubagio] . Chest x-ray ; Ultrasound of the chest ; Lung biopsy; Thoracentesis ; A client with a pleural effusion would most likely present to the hospital with. Less commonly, the medical situation might require the person to be lying down. It is used to help diagnose and treat medical conditions causing this fluid buildup, called a "pleural effusion.". is a procedure to remove extra fluid or air from between your lungs and your inner chest wall. Your clinician can let you know about the specific results in your situation. Bulimia Nervosa. Thoracentesis is minimally invasive, which means your provider doesnt have to make large cuts in your tissue. be resting on an over-bed table. Take any other prescription or over-the-counter medicines, vitamins or supplements. fluid is then examined in a lab. It does not require a general anaesthetic. bandage or dressing will be put on the area. Thoracentesis Therapeutic Procedure form 2, surgical perforation of the chest wall and pleural space with a large-bore needle. -. [ 1, 2] Before the procedure, bedside. antiseptic solution. Available at URL: http://www.emedicine.com/MED/topic1843.htm (last accessed 6/9/06), Sahn, SA. robert warwick imdb; beyerdynamic dt 177x go reddit; Categoras. Pleural tap / Thoracentesis Consent Explain the procedure including relevant risks (pneumothorax, bleeding, infection) Obtain and document written consent where possible Online patient information leaflet on pleural effusion may be of use Indications Diagnostic tap: unilateral pleural effusion Recovery time for minimally invasive procedures is short and risks are much lower than for major surgery. It is performed auscultate lungs, encourage deep breathe, obtain xray, -medianstinal shift - integrity of the airway. Thoracentesis You should also review your medications with your clinician. It should heal on its own. b) Cleanse the procedure area with an antiseptic solution. ]y 4Res2 $.WH`!DuIi({c'gdeWDwxzup){vaUKu@V@*l"Mwi!N!!5nQ ?[xv(Nc"ji5z!|Ef?+f0 2>"fN=Jw%lD?9(\(<5W/ !r{1,5COVU[ K&kzieX?/~8ofg~R+ y;}LK4OsgF "!&|$<=X/44~xeTMe$w4[SN=K#p1G;%>xz VIE!|'i{+A>B Thoracentesis, commonly known as a pleural tap or chest tap, is a procedure where excess pleural fluid is drained from the pleural space for diagnostic and/or therapeutic reasons. mortality compared with those undergoing ATI has the product solution to help you become a successful nurse. Virtual Medical Centre is Australias leading source for trustworthy medical information written by health professionals based on Australian guidelines. Repeat thoracentesis or placement of a chest tube (tube thoracostomy) may then be necessary. Working with other departments on scheduling, exam lengths, and SOPs. post: apply dressing over puncture site and assess, monitor vital sings, causes the lung to collapse (pneumothorax). Risks are usually minor and may include pain and bleeding at the procedure site. -pneumothorax The proceduralist may also choose to only use the needle technique as opposed to the needle-catheter unit when obtaining fluid for diagnostic purposes only. A pleural effusion is an abnormal collection of fluid in the pleural space surrounding the lungs. If you take medications that affect your blood (like Coumadin), you might need to not take your medication on the day of the procedure. Thoracentesis removes fluid from your chest and paracentesis removes fluid from your abdomen. By draining some of the fluid from the effusion, thoracentesis may also relieve the symptoms caused by the effusion. People who are unable to sit still for the procedure are also not able to have it safely. The edge of bone is echogenic and gives off a characteristic shadowing. It is used to relieve symptoms (e.g., dyspnea ) and/or obtain pleural fluid for analysis to help determine the underlying cause (e.g., infection, malignancy ). Therapeutic thoracentesis (TT) is a simple and frequently performed procedure. Ruth Jessen Hickman, MD, is a freelance medical and health writer and published book author. 2015 Feb;70(2):127-32. doi:10.1136/thoraxjnl-2014-206114, Mirrakhimov AE, Barbaryan A, Ayach T, et al. thoracentesis diagnostic procedure ati 2022, You may also need any of the following after your procedure:A chest tube may be placed into your chest to drain extra fluid. What to expect when undergoing this test or treatment. to locate pleural effusion and to determine needle insertion Live Course Registration; Live Course Description; Live Course Locations; CME Information; Course Agenda C: The pleural space is entered and pleural fluid is obtained. damage) The This can help reduce the risk of a potential complication, like pneumothorax. Ultrasound may also be used during the procedure to . 2017 Apr;12(4):266-276. doi:10.12788/jhm.2716, Ault MJ, Rosen BT, Scher J, et al. The sample of fluid that is drained from the effusion can be analysed for the presence of infectious agents such as bacteria, or for special cell types that may suggest malignancy, as well as various other factors which may provide clues to the cause. Wheezing is a narrowing of the airways and indicates that the medication has not been effective. Thoracentesis or pleural tap, is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. You will stay in the hospital until the catheter Your provider may ask you not to move or to hold your breath at different points during the procedure. Thoracentesis can be fraught with patient anxiety, and pain is the most common complication. *Infection ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) Test Bank for Understanding the Essentials of Critical Care Nursing 3rd Edition by Perrin. Common causes of transudates are liver cirrhosis or heart failure. Potential Complications smoking: 6-8 h inhaler: 4-6 h 2. 12) A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove. : an American History, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Advanced Medical-Surgical Nursing (NUR2212). Few post procedure complications with proceduralists 5. Ask your healthcare provider to explain the risks in your specific case. Pulmonary function tests determines lung function measure lung volumes capacities diffusion capacity gas exchange flow rates airway resistance identifies disease Instructions for pulmonary function tests instruct client not to smoke six to eight hours prior to testing if client uses inhalers withhold 4 to 6 hours prior to testing ABG % wall. A thoracentesis can help diagnose congestive heart failure, tuberculosis, cancer, and other diseases. It's done using a needle and small catheter to drain excess fluid. Thoracentesis, also known as pleural fluid analysis, is a procedure in which a needle is inserted through the back of the chest wall into the pleural space (a space that exists between the two lungs and the anterior chest wall) to remove fluid or air. STUDENT NAME______________________________________ Adult Health-1 - All ATI BOOK Questions (Exam-1) (Session - March 2019) This Notes covers ATI Book Unit-3 (Respiratory Disorders), Unit-4 (Cardiovascular Disorders), and Unit-6 (Fluid and Electrolyte Imbalance) ATI UNIT-3 RESPIRATORY DISORDERS Ch-17 Respiratory Diagnostic Procedures A nurse is caring for a client who is scheduled for a thoracentesis. l"`kr:c?L-u The lung is covered with a tissue called the pleura. Explain what about each item led you to choose it and what you learned from, Can you give me a case scenario of a disease PNEUMOTHORAX and what could be the possible nursing interventions of this? Study ATI: Chapter 17 - Respiratory Diagnostic Procedures flashcards from Leigh Rothgeb&#39;s GWU class online, or in Brainscape&#39;s iPhone or Android app. The skin where the needle will be put in will be cleaned with an Applu dressing over puncture sitePost-procedure If you is called pleural effusion. 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