The client has pneumonia in the left lobe. The nurse should ...

[pragya sharda]

The client has pneumonia in the left lobe. The nurse should encourage him to lie in which of the following positions?
 
  a. On the affected side
  b. With the unaffected lung down
  c. On either side
  d. Supine

Question 2

On the infiltration scale for assessing a peripheral intravenous (IV) site, what grade would the nurse document when the assessment indicates the skin is blanched with 4.5 cm of edema, and the area is cool to touch?
 
  a. 1
  b. 2
  c. 3
  d. 4

[ecabral0]

Answer to Question 1

B
A client with unilateral lung disease (pneumothorax, atelectasis, pneumonia, thoracoto-myaffecting one lung) should be positioned with the unaffected (good) lung down; this pro-motes better perfusion of the healthy lung, improving oxygenation.
A client with unilateral lung disease should be positioned with the unaffected lung down.
A client with unilateral lung disease should be positioned with the unaffected lung down.
A client with unilateral lung disease should be positioned with the unaffected lung down.

Answer to Question 2

B

Feedback
A A grade of 1 on the infiltration scale would indicate blanched skin, edema 2.5 cm in any direction, and the area cool to touch.
B A grade of 2 on the infiltration scale would indicate blanched skin, edema 2.5 to 15.2 cm in any direction, and the area cool to touch.
C A grade of 3 on the infiltration scale would indicate blanched, translucent skin, gross edema 15.2 cm in any direction, cool to touch, mild to moderate pain, and possible numbness.
D A grade of 4 on the infiltration scale would indicate skin that is blanched, translucent, tight and leaking, with gross deep pitting edema, circulatory impairment, moderate to severe pain, and infiltration.

[pragya sharda]

Thank you!

[ecabral0]

Always glad to help...