Author Question: A nurse in the postanesthesia care unit is caring for a 77-year-old male patient after hip ... (Read 33 times)

jCorn1234 · **on:** Jul 23, 2018

A nurse in the postanesthesia care unit is caring for a 77-year-old male patient after hip replacement surgery. While assessing the patient, the nurse notes crackles, dyspnea, cough, and changes in movement of the chest wall.

The nurse would suspect the patient has developed what? A) Pneumonia
B) Atelectasis
C) Bronchitis
D) Emphysema

Question 2

A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident.

The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what? A) Support vital functions
B) Continue curative treatment
C) Institute life-saving treatment
D) Monitor patient's response

janeli · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Patients may present with crackles, dyspnea, fever, cough, hypoxia, and changes in chest wall movement. Treatment may involve clearing the airways, delivering oxygen, and assisting ventilation. In the case of pneumothorax, treatment would also involve insertion of a chest tube to restore the negative pressure to the space between the pleura. These signs and symptoms are not the presentation of pneumonia, bronchitis, or emphysema.

Answer to Question 2

D
Feedback:
Because the nurse has the greatest direct and continued contact with the patient, the nurse is in the best position to detect minute changes that ultimately determine the course of drug therapytherapeutic success or discontinuation because of adverse or unacceptable responses. The nurse would support vital functions, continue curative treatment, and institute life-saving treatment, but these actions occur regardless of drug therapy.