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Instruct the pt not to move, cough, or deep breathe during the procedure; may puncture causing pneumothorax.

After procedure listen for adventitious lung sounds and watch for a mediastinal shift- both indicate a pneumothorax. Monitor vitals, breath sounds and puncture site. Promote coughing and deep breathing, facilitate lung expansion-HOB up

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Q: What is the most crucial nursing intervention during thoracentesis?
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