PAEA Surgery End Of Rotation (EOR) Practice Exam

During a thoracentesis, the patient should do what as the needle is withdrawn?

1. Inhale deeply

2. Swallow

3. Exhale

4. Hold their breath

The correct answer is: Exhale

During a thoracentesis, the patient is advised to exhale as the needle is withdrawn. This is important because exhaling helps to minimize the pressure in the pleural space, reducing the risk of complications such as pneumothorax. When the needle is inserted, the patient may be asked to breathe normally or in a specific manner, but as the needle is taken out, the act of exhalation can assist in ensuring any potential air that may have entered the pleural space is expelled, thus maintaining optimal lung function and reducing discomfort. Being mindful of breathing during this procedure is crucial for patient safety and comfort. Other actions, such as holding the breath, could increase intrathoracic pressure and potentially complicate the procedure. Swallowing and inhaling deeply at this moment wouldn't provide the same benefits and could lead to increased risk during this delicate process.