A nurse is providing care for a patient who has been admitted ...

[Lobcity]

A nurse is providing care for a patient who has been admitted with a newly diagnosed bilateral pleural effusion.
 
  Which of the following findings from the nurse's initial assessment of the patient is incongruent with the patient's diagnosis and would require further investigation?
  A)
  The client complains of sharp pain exacerbated by deep inspiration.
  B)
  The client's breath sounds are diminished on auscultation.
  C)
  Pulse oximetry indicates that the client is hypoxemic.
  D)
  The client complains of dyspnea and increased work of breathing.

Question 2

A child with rhinosinusitis should be monitored for complications. Which of the following assessment findings would alert the nurse that a complication is developing?
 
  A)
  Purulent nasal discharge
  B)
  Temperature of 100.8 F
  C)
  Periorbital edema
  D)
  Complaints of headache

[s.meritte]

Answer to Question 1

Ans:
A

Feedback:

Pleural effusion is not normally associated with pain, and intense pain that is worsened by deep breathing would necessitate further investigation. Diminished breath sounds, hypoxemia, and dyspnea are common findings associated with pleural effusion.

Answer to Question 2

Ans:
C

Feedback:

Expected s/s of acute viral rhinosinusitis include facial pain, headache, purulent nasal discharge, decreased sense of smell, and fever. Complications can lead to intracranial and orbital wall problems. Facial swelling over the involved sinus, abnormal extraocular movements, protrusion of the eyeball, periorbital edema, or changes in mental status may indicate intracranial complications.

[Lobcity]

Excellent

[debra928]

TYSM