What position should a client be in for a thoracentesis?

The recommended position for a client undergoing a thoracentesis is leaning forward over a bedside table. This position allows for optimal access to the pleural space, facilitating the procedure. By leaning forward, the client can help to expand the space between the ribs, enhancing the nurse or physician's ability to properly perform the thoracentesis safely and effectively. This position also allows for improved comfort and can help alleviate anxiety during the procedure, as the patient is often more relaxed in a supported, leaning position.

Additionally, leaning forward minimizes the risk of complications such as pneumothorax and provides better access to the fluid that may be present in the pleural space. It is also a position that helps to optimize lung expansion for the client before and after the procedure.

Other positions, such as lying on the side or standing upright, do not provide the same level of access or safety for the procedure and may hinder the effectiveness of the thoracentesis.