Author Question: Which finding in a patient hospitalized with bronchiectasis is most important to report to the ... (Read 43 times)

newbem · **on:** Jun 25, 2018

Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?

a. Cough productive of bloody, purulent mucus
b. Scattered rhonchi and wheezes heard bilaterally
c. Respiratory rate 28 breaths/minute while ambulating in hallway
d. Complaint of sharp chest pain with deep breathing

Question 2

The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident. Which instructions should the nurse include in the discharge teaching?

a. Watch for excess bruising.
b. Check for swollen lymph nodes.
c. Take iron supplements to prevent anemia.
d. Wash hands and avoid persons who are ill.

dudman123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Hemoptysis may indicate life-threatening hemorrhage and should be reported immediately to the health care provider. The other findings are frequently noted in patients with bronchiectasis and may need further assessment but are not indicators of life-threatening complications.

Answer to Question 2

ANS: D
Splenectomy increases the risk for infection, especially with gram-positive bacteria. The risks for lymphedema, bleeding, and anemia are not increased after a person has a splenectomy.