A client's chest x-ray shows significant left lung consolidation; however, the client is not short of breath nor is she experiencing any other respiratory symptoms. What should the nurse do with the information obtained from the chest x-ray?
a. Plan pulmonary toileting activities for the client.
b. Collect more data and analyze for appropriate cues.
c. Prepare the client for emergency respiratory care.
d. Ask the physician if the client would benefit from a chest tube.
Question 2
A client was admitted for fluid volume overload. Over the course of several days, the client is progressively becoming more lethargic and the client is sleeping throughout the day. The nurse contacts the physician to report neurological changes.
When the family arrives, they ask if the patient has been using a machine for sleep apnea. What does this situation suggest to the nurse?
a. The patient does not have sleep apnea.
b. The patient did not have a complete assessment done.
c. The client's fluid volume overload is causing pulmonary edema.
d. The physician did not communicate that the client has sleep apnea.
Cardinal Fields of Gaze, Left Lateral Superior Gaze
Nursing history for lung assessment
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