This topic contains a solution. Click here to go to the answer

Author Question: Percussion and vibration is ordered on a patient with retained pulmonary secretions. Which action by ... (Read 29 times)

codyclark

  • Hero Member
  • *****
  • Posts: 538
Percussion and vibration is ordered on a patient with retained pulmonary secretions. Which action by the student nurse should the nursing instructor question?
 
  a. Performs percussion for 3 to 5 minutes in each position as tolerated
  b. Uses the wrist and elbow to create movement when performing percussion
  c. While the patient inhales, gently pushes down and vibrates the chest wall with the flat part of the hand
  d. Repeats the vibration 3 times and then instructs the patient to take a deep breath and cough while exhaling

Question 2

A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery. The nurse anticipates that which technique will be used to control respiratory secretions in this patient?
 
  a. Forceful coughing
  b. Percussion
  c. Vibration
  d. Shaking



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CAPTAINAMERICA

  • Sr. Member
  • ****
  • Posts: 325
Answer to Question 1

C
Vibration is performed while the patient is exhaling, not inhaling. Percussion is performed for 3 to 5 minutes in each position. When clapping, most arm movement comes from the elbow and wrist joints. Vibration is repeated 3 times and then the patient cascade coughs by taking a deep breath and doing a series of small coughs until the end of the breath.

Answer to Question 2

A
Thin, frail patients with osteoporosis are most susceptible to injury and are taught other secretion control measures (e.g., forceful coughing, humidification). Percussion, vibration, and shaking are contraindicated with rib fracture; fracture of other rib cage structures such as clavicle or sternum; pain; severe dyspnea; and severe osteoporosis.




codyclark

  • Member
  • Posts: 538
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


matt95

  • Member
  • Posts: 317
Reply 3 on: Yesterday
Excellent

 

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

For a complete list of videos, visit our video library