Which of the following clinical findings indicate the development ...

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Which of the following clinical findings indicate the development of atelectasis? 1. Opacified areas on the chest x-ray film 2. Inspiratory and expiratory wheezing 3. Tachypnea 4. Diminished or bronchial breath sounds
 
  a. 1, 3, and 4 only
  b. 1, 2, 3, and 4
  c. 1 and 4 only
  d. 2, 3, and 4 only

Question 2

Which of the following patient categories are at high risk for developing atelectasis? 1. Those who are heavily sedated 2. Those with abdominal or thoracic pain 3. Those with neuromuscular disorders
 
  a. 1 and 2 only
  b. 2 and 3 only
  c. 1 and 3 only
  d. 1, 2, and 3

[pangili4]

Answer to Question 1

ANS: A
When the atelectasis involves a more significant portion of the lungs, the patient's respiratory rate will increase proportionally. Bronchial-type breath sounds may be present as the lung becomes more consolidated with atelectasis. Diminished breath sounds are common when excessive secre-tions block the airways and prevent transmission of breath sounds. The chest film is often used to confirm the presence of atelectasis.

Answer to Question 2

ANS: D
Patients who have difficulty taking deep breaths without assistance include those with signifi-cant obesity, those with neuromuscular disorders, those under heavy sedation, and those who have undergone upper abdominal or thoracic surgery.

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TYSM