thoracentesis diagnostic procedure ati thoracentesis diagnostic procedure ati

to obtain ascitic fluid for diagnostic or therapeutic purposes. Test Bank for Understanding the Essentials of Critical Care Nursing 3rd Edition by Perrin. is a question that has been asked by many people. The risk of complications is minimized by making sure that the procedure is done only when necessary for symptom relief or to find the cause of pleural effusion. A chest tube, or a smaller drain with a curled end (pigtail catheter), stays inside your chest and drains fluid or air over a few days. an invasive procedure for visualization of upper repiratory tract (treachea, larynx and bronchi) for diagnosis and management. When the area is numb, the healthcare provider will put a needle THORACENTESIS ACTIVE LEARNING TEMPLATE-THERAPEUTIC PROCEDURE.pdf 1 Cardiovascular Diagnostic and Therapeutic Procedures_Managing an Arterial Line.pdf 1 Chest Tube.pdf 1 ALT infection control.docx 2 chest tubes.pdf 1 COPD.pdf 1 homework View More Related Q&A PN pharmacology 2020 ATI proctored assessment exam Q&A Ultrasound use for guidance decreases the risk of complications. Soni NJ, Franco R, Velez MI, et al. your healthcare provider which risks apply most to you. Indications *Transudates (HF, cirrhosis, nephritic *Monitor for coughing and hemoptysis. Cavanna L, Mordenti P, Bert R, et al. Airway suctioning. watched. versus exudate, detect the presence of Thoracentesis This is normal and helps your lungs expand again. 2lCZe[u)S?X1%D+Jk -hEn( URq%6|1p?/ Cb ok+]'aIjLnu'$ftn This is called the pleural space. Performing ultrasound guided procedures such as liver biopsies, abdominal wall drains, thoracentesis, paracentesis, FNA of superficial structures, wireloc and breast biopsies, and assists in OR on needed cases vascular and Obstetrics. Less commonly, the medical situation might require the person to be lying down. Clean part of your back with antiseptic and cover the area with a drape. Thoracentesis outcomes: a 12-year experience. Pleural effusions of unknown origin and parapneumonic effusions almost invariably require thoracentesis. How is it used? You may feel some pressure where the Up to 1.5 L is removed in a therapeutic thoracentesis. Explore lung, breathing and allergy disorders, treatments, tests and prevention services provided by the Cleveland Clinic Respiratory Institute. Medical-Surgical Nursing. Pneumothorax is a potential complication. Other less common causes of pleural effusion include: Tuberculosis. 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. These commonly include shortness of breath, chest pain, or dry cough. 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) What to expect when undergoing this test or treatment. Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Your provider can get to your back in this position and its easier to hold yourself still. The lung is seen as an echogenic structure moving with respiration. A. Transcript. 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. After you swallow the barium drink it will coat the inside walls of the pharynx and esophagus. Measure fluid and document amount and colorSend specimen to the Labs Pleural effusions of unknown origin and parapneumonic effusions almost invariably require thoracentesis. the spaces between the ribs, where the needle is inserted. procedure should be terminated if the patient developed chest pain, more than minimal coughing, or shortness of breath, or if no more fluid could be obtained. Pleural fluid analysis is used to help diagnose the cause of accumulation of fluid in the chest cavity (pleural effusion). healthcare provider's methods. What test must you do before performing an arterial puncture? Pleural fluid testing involves removing a sample of this fluid so that it can be analyzed using one or more laboratory methods. You should also review your medications with your clinician. New-onset ascites - Fluid evaluation helps to Thoracentesis can help diagnose health problems such as: Congestive heart failure (CHF), the most common cause of pleural Dont hesitate to ask your healthcare provider about any concerns you have. The needle or tube is inserted through the skin, between the ribs and into the chest. The lesion was removed in the usual manner by the biopsy method Body System Body System Cardiovascular Endocrine Gastrointestinal Immune Musculoskeletal Nervous Renal Respiratory. Ask your healthcare provider to explain the risks in your specific case. 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. It can also be performed to drain large effusions that lead to respiratory compromise. Wiederhold BD, Amr O, O'Rourke MC. is removed. Many people have fluid on their lungs that keeps coming back because of an underlying medical condition. Thoracentesis helps determine the cause of the excess fluid. Give you oxygen through a tube (cannula) in your nose or with a mask. Are allergic to any medications (including anesthetics), latex or tape (adhesives). Some might require treatment, such as insertion of a chest tube if you get a large pneumothorax. Thoracentesis yields high diagnostic value and is a generally safe procedure - given that some basic principles are considered. Stone CK, Humphries RL. Removal of this fluid by needle aspiration is called a thoracentesis. me4u1+VWK#]cJJ3.+>j?fpd,$s)a=+7lUman1d/pm!UpLXadRXo]f-eeu.V30S'HR Parenting information is available at Parenthub.com.au, The Medical System Bulk Billing & Medicare. If there is a large amount of fluid, tubing may be attached to the Tell your provider if you have chest pains or feel short of breath or faint. It can smoking: 6-8 h inhaler: 4-6 h 2. Thoracentesis is minimally invasive, which means your provider doesnt have to make large cuts in your tissue. If you are doing well, you may be able to go home in an hour or so. You might have a feeling of discomfort or pressure as this happens. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 4). The needle or tube is inserted through the skin, between the ribs and into the chest. -bleeding Theyll use imaging (X-ray, ultrasound or CT scan) before the procedure to see where the fluid is and how much of it there is. These are done to find the 3). content, the presence of enzymes such as abnormal cells, and cultures. The procedure may be done to take a sample of the fluid for testing to help find the cause. causes the lung to collapse (pneumothorax). accidental needle damage) during procedure showed a trend towards reduction in A needle is inserted through the back of the chest wall and into the pleural space to extract pleural effusion for diagnostic (where pleural fluid is examined a.k.a. Because some of the problems causing pleural effusions are quite serious, its important that healthcare professionals perform thoracentesis to help pinpoint the problem. During a thoracentesis your provider will: After a thoracentesis, your provider may get another X-ray or ultrasound of your lungs. Few post procedure complications with proceduralists 5. 2019 Jun;86(6):371-373. doi:10.3949/ccjm.86a.17058. If you Diagnostic thoracentesis [online], UpToDate, 2005. between the ribs in your back. Winner of the Standing Ovation Award for "Best PowerPoint Templates" from Presentations Magazine. (2) Affix a sterile drape. be resting on an over-bed table. Detailed analysis of the fluid in a lab can help identify the source of your problem. *Monitor vitals,Auscultate lungs for a Relative contraindications include coagulopathy and infection over the procedure site. A needle is put through the chest wall into the pleural space. linfonodi ascellari covid. Thoracentesis involves placing a thin needle or tube into the pleural space to remove some of the fluid. :n*$Hv$*c]JB1rP,uAu.Za + D2`Vb$VVews3f\YYK^zRptZVaf Most commonly, people have thoracentesis when they are fully awake. site. determine the etiology of ascites, as well as to evaluate for infection or presence of cancer. With this apparatus, one constantly aspirates as the catheter is advanced through the chest wall. It does not require a general anaesthetic. When enough fluid has been removed, the needle will be taken out. It does not require a general anaesthetic. The name derives from the Greek words thorax ("chest") and centesis ("puncture"). Its used to test the fluid for infection or other illnesses and to relieve chest pressure that makes it tough to breathe. therapeutic relief of pleural pressure. Your healthcare provider may give you other instructions after the Types of Pneumothorax according to pathophysiology. However, you might need to get medical imaging afterward if your symptoms suggest that you might have a complication from thoracentesis, such as shortness of breath or chest pain from a pneumothorax. As this happens, youll receive instructions to hold your breath. 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 Ask questions if You may have any of the below: You may have your procedure as an outpatient. Over 1.5 million people a year in the U.S. experience such a pleural effusion.. Client Education Inability to lie flat without pain. However, some people need to have thoracentesis repeated if a pleural effusion comes back due to their underlying medical condition. Will you have ultrasound guidance during your procedure? Recovery time for minimally invasive procedures is short and risks are much lower than for major surgery. Thoracentesis kit 2. Transudates are thinner and more clear, occurring from fluid flowing out of the lung capillaries. *Mediastinal shift (shift of thoracic structures Procedure steps for diagnostic thoracentesis (1) Sterilize a wide area surrounding the puncture site with chlorhexidine 0.05% (applied with vigorous scrubbing) or povidone-iodine 10% in circular fashion with adequate drying time. 8;Z\7;6n(^#kThHoBPRA&&WO]ZIu_ZUXo7,Uau/AWQUi*j&[jI90g]lr9#tA5i RN VATI Adult Medical Surgical 2019 CLOSE Question 72 loaded rationals provided. You also might need imaging under other circumstances that increase your risk of complications, such as having multiple needle insertions, having advanced lung disease, if you are on mechanical ventilation, or if a large volume of fluid was removed. Sometimes people also receiving medical imaging after thoracentesis to assess any remaining fluid. Ask your provider if you have any restrictions on what you can do after a thoracentesis. -monitor for manifestations of pneumothorax The pleura is a double layer of membranes that surrounds the lungs. -normal breath sounds Training ultrasound technologists on Trophon. Which of the following information should the nurse include in the teaching - You will lean forward on the over bed table for this procedure. This space is between the outside surface of the lungs (pleura) and the chest wall. Completion of procedure. A nurse is assisting the provider who is performing a thoracentesis at the bedside of a client. In some cases, if it is expected that the fluid will reaccumulate quickly (such as in chest trauma) a drain might be connected before the needle is removed. Autoimmune disease. Analysis of this tissue is then used in the diagnosis of an underlying renal condition. bleeding (hypotension, reduced Hgb level) also be done to treat symptoms of pleural effusion by removing fluid. Chest X ray should be taken before thoracentesis is done , to diagnose the location of the fluid in the pleural cavity 3. several hours after thoracentesis. the nurse should expect the provider to order which of the following diagnostic tests? What Is Thoracentesis?Purpose of Thoracentesis. You should be able to go back to your everyday activities, like work or school, as soon as you feel up to it. We are vaccinating all eligible patients. Ascitic fluid may be used to helpdetermine the etiology of ascites, as well as to evaluate for infection or presence of cancer. Thoracocentesis: From bench to bed. Ascitic fluid may be used to help, determine the etiology of ascites, as well as to evaluate for infection or presence of cancer, New-onset ascites - Fluid evaluation helps to, determine etiology, differentiate transudate, Maintain pressure at insertion site for several minutes and apply a, - Check vital signs, record weight, and measure abdominal girth, - Monitor temp every 4 hours for 48 hours, - Administer IV fluids or albumin as prescribed, - Assist patient into a comfortable position with HOB elevated to. Or it may be done as part of a longer stay in the hospital. Connect you to machines to watch your heart rate and other vital signs. 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. You will also need to plan time for monitoring afterward. The fluid will drain A success rate of up to 90% has been . This will let the fluid drain more. You may be given oxygen through a nasal tube or face mask. Thoracentesis is performed to:relieve pressure on the lungstreat symptoms such as shortness of breath and paindetermine the cause of excess fluid in the pleural space. Thoracentesis may be done to find the cause of pleural effusion. Sometimes, people experiencing a pleural effusion have symptoms like shortness of breath, cough, or chest pain. diagnostic evaluation, instill medication into the pleural space, and remove fluid (effusion) or air from the pleural space for objects. Chest x-ray ; Ultrasound of the chest ; Lung biopsy; Thoracentesis ; A client with a pleural effusion would most likely present to the hospital with. Thorax. It also allows time for questions to clarify information and Bulimia Nervosa. . The procedure takes about 30-45 minutes . You may be asked to remove jewelry or other - remove dentures. -remove large amounts of fluid in pleural space Cross), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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What is thoracentesis. : 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. to make sure your lungs are OK. After the procedure, your blood pressure, pulse, and breathing will be Youll also probably be hooked up to equipment to help monitor you during the procedure, like for your blood pressure. The indications for diagnostic and therapeutic bronchoscopy are listed in Boxes 1 and 2. During the procedure, most people sit while their heads and arms resting on a table. A high frequency linear transducer (7.5 to 12 MHz) is the optimal choice for this procedure and placed on the patients back in the sagittal or transverse position. Purpose The lungs are lined on the outside with two thin layers of tissue called pleura. So your healthcare provider may use ultrasound to help determine the best place to insert the needle. Someone may ask you to sign a consent form. -pneumothorax Argento AC, Murphy TE, Pisani MA, et al. ATI has the product solution to help you become a successful nurse. This parameter does not address the use of ultrasound for preoperative image-guided localizationFor further . Open pneumothorax. to obtain speciments for diagnostic evaluation, instill medication, and remove fluid, -transudates (heart failure, cirrhosis, nephritic syndrome) Respiratory diagnostic procedures. ATI: Chapter 17 - Respiratory Diagnostic Procedures Flashcards by Leigh Rothgeb | Brainscape Brainscape Find Flashcards Why It Works Educators At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. Therapeutic intervention in a symptomatic patient. People with certain medical conditions cannot have thoracentesis safely. Before the thoracentesis, your healthcare provider will talk to you about all your medical conditions, perform a physical exam, and assess your health. Risks are usually minor and may include pain and bleeding at the procedure site. pleural fluid. auscultate lungs, encourage deep breathe, obtain xray, -medianstinal shift - to destroy and excise lesions. J Thorac Dis. Amiodarone-induced loculated pleural effusion without pulmonary parenchymal involvement: a case report and literature review. Your care team provides you with a complete range of advanced, high-quality diagnostic imaging tests and image-guided treatments in a caring, safe and efficient environment. lactate dehydrogenase (LDH) and amylase, Your provider may ask you not to move or to hold your breath at different points during the procedure. 2023 Dotdash Media, Inc. All rights reserved. *Blunt, crushing, or penetrating chest by your healthcare provider. : Bacteriological and cellular composition, T.B, To instill the medication, Contraindications:- Someone will need to drive you home. Sometimes a diagnostic thoracentesis is inconclusive. provider, Blood or other fluid leaking from the needle site. Get useful, helpful and relevant health + wellness information. Thoracentesis is performed by the physician and is done by inserting a needle and small, flexible catheter (tube) into the pleural space. 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. 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. Measure abdominal girth and elevate head of bedIntra-procedure <> *Empyema bacterial peritonitis. Full Document, Experiment_Linear Heat Conduction_Group_14(2).docx, Stones accepts Giddens concept of strategic conduct analysis renaming it agents, Copy_of_Honors_Chemistry_Test_1_Objectives_2019, Real Estate - East Nashville(Group 11).pptx, 0 2182015 NA 0 2182015 Arizona 0 2182015 Eastern Time 0 2182015 Eastern Time 0, 6 Group expertise Does the group have expertise in this decision making area The, 13 There is a bacteria cell in a Petri dish The cell reproduces at a rate of per, Which statements are true about TCP and UDP Choose all that apply a TCP is, Due Oct 28 by 4am Points 0 Submitting a file upload Complete the reading to prepare for the day and identify 3 priority client interventions for a client with acute myeloid leukemia. A diagnostic thoracentesis may be repeated if initial results fail to yield a diagnosis. The dressing over the puncture site will be checked for bleeding *Bleeding -. A thoracentesis is usually done at a hospital and takes about 15 minutes. Find more COVID-19 testing locations on Maryland.gov. If youre unable to sit, you can lie on your side. It causes symptoms like: Chest pain. promote lung expansion, Document color, odor, consistency, and amount of fluid removed, your healthcare provider says its OK. 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. location of the fluid to be removed. Your medical team will include your healthcare provider, one or more nurses, and health aids or clinic personnel. Am Fam Physician. The pleural space is the area outside your lungs but inside your chest wall. -auscultate lungs Redness, swelling or bleeding at the needle site. You may feel a pinch when they put the needle in. J Nat Sci Biol Med. Using ultrasound to guide this procedure can decrease the very high complication rate associated with it. Removes pressure of patients needing to go the ER or being admitted for routine drainages 3. procedure. and pain. ]h$:O\5Ve]PcyPIB4Z,-[m;Ou@*Dg:I5mEn.P3q@ro%@'A'NN Ick 'D0p+22-F:B^)b{3R)hS9Jk33$s 4BC-=_)&i+z+s.&^E$5G[ra@~@_pfue=wdNhAbI?{s!/IWuG:n^6mp @I,|B&wRkU,h {>l (Ofp^IJDW6=L~? considerations. 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. -empyema 2015 Feb;70(2):127-32. doi:10.1136/thoraxjnl-2014-206114, Mirrakhimov AE, Barbaryan A, Ayach T, et al. Position pt supine with head of bed elevatedAssist pt with relaxation technique Adpirated fluid is analyzed for general Which of the following action should the nurse take? They may use a hand-held ultrasound device to help them guide the needle. Interpretation of Findings But too much fluid can build up because of. Thoracentesis is a respiratory procedure performed with the aim of removing pleural effusion. Some medical conditions and diseases cause fluid to leak into the pleural space (pleural effusion), which makes it hard to breathe. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. cytological examination) and/or therapeutic (where pleural fluid is removed to provide . 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! Diagnostic paracentesis In patients who have peritoneal fluid that is new or of uncertain etiology In patients with ascites and symptoms such as fever or increased pain that suggest possible infection of the ascitic fluid (eg, spontaneous bacterial peritonitis ) Therapeutic paracentesis Available at URL: http://www.emedicine.com/MED/topic1843.htm (last accessed 6/9/06), Sahn, SA. needle goes in. With modern techniques, thoracentesis only rarely causes significant side effects. They may affect the acquired images. Thoracentesis can be performed with the patient sitting upright and leaning over a Mayo . If you cant sit, you can lay on your side instead. Thoracentesis is a safe way to diagnose infections and other illnesses that cause pleural effusion. Its easy to get worried even before you even have results. Patients are usually asked to sit upright during the procedure. Hawatmeh A, Thawabi M, Jmeian A, et al. Suspected spontaneous or secondary %PDF-1.3 If not, why not? Course Hero is not sponsored or endorsed by any college or university. Numb the area with a needle and local anesthesia. leakage of fluid, Report changes in mental status due to to locate pleural effusion and to determine needle insertion activity for a few days. are not able to sit, you may lie on your side on the edge of the Normally the pleural cavity contains only a very small amount of fluid. Youll breathe easier afterward. The basic thoracentesis apparatus in this kit is an 8-F gauge catheter over an 18-gauge needle with a three-way stopcock and self-sealing valve. You may need extra oxygen if your blood oxygen level is lower than it should be. mmi>YVPy-K"pR,$ Repeat Thoracentesis in Hepatic Hydrothorax and Non-Hepatic Hydrothorax Effusions: A Case-Control Study. These symptoms may be worse with physical activity. STUDENT NAME______________________________________ the provider. complications of thoracentesis ati. 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. _ ml of _ colored fluid was removed without difficulty. What Are the Symptoms of Metastatic Breast Cancer? Will you receive a chest X-ray afterward? During the thoracentesis, your doctor removes fluid from the pleural space. Obtain vital signs, weightAssist patient to void, to reduce risk of injury to bladder You can plan to wear your usual clothes. Thoracentesis can be done as frequently as every few days for certain conditions. because the lungs cant inflate fully. 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! Patient-centered outcomes following thoracentesis. After cleansing the skin, place the fenestrated drape around the procedure site to create a sterile field and use the large s sterile drape to extend the sterile field. Thoracentesis involves the removal of pleural fluid for diagnostic or therapeutic purposes. Sterile gloves . Healthcare providers use thoracentesis to test the fluid for diseases or to relieve symptoms. In . If there is any doubt, pleural fluid should be sent for diagnostic analysis (see below); in practice, diagnostic analysis is almost always necessary. Maher AlQuaimi. 5 0 obj Working with other departments on scheduling, exam lengths, and SOPs. Risk factors for post-LP headache: Patient factors: young age - history of headaches; Procedure factors: sitting position - large needle - cutting needle - multiple attempts gown to wear during the procedure. Pericardiocentesis is a procedure done to remove fluid that has built up in the sac around the heart (pericardium). Thoracentesis is a percutaneous procedure where pleural fluid is removed either through a needle (typically for small volumes eg, <30 mL), needle over catheter system, or a small bore catheter. (3) Administer anesthetic (1-2% lidocaine) with a subcutaneous wheal using a 25-gauge needle. Shojaee S, Khalid M, Kallingal G, Kang L, Rahman N. C: The pleural space is entered and pleural fluid is obtained. Your provider will let you know what they find and what it means for your health. monitor vital signs, measure and record amount of fluid removed from 12) A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove. Procedures might include: Thoracentesis. The depth of fluid may vary with inspiration and expiration.