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 72 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
Great answer, keep it coming :)


TheDev123

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Excellent

 

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

For a complete list of videos, visit our video library