All of the following clients are experiencing increased ...

[nmorano1]

All of the following clients are experiencing increased respiratory secretions and require interven-tion to assist in their removal. Chest percussion is indicated and appropriate for the client experi-encing:
 
  1. Thrombocytopenia
  2. Cystic fibrosis
  3. Osteoporosis
  4. Spinal fracture

Question 2

The nurse is working on a pulmonary unit at the local hospital. The nurse is alert to one of the early signs of hypoxia in the clients, which is:
 
  1. Cyanosis
  2. Restlessness
  3. A decreased respiratory rate
  4. A decreased blood pressure

[234sdffa]

Answer to Question 1

ANS: 2
Chest percussion is indicated and appropriate for the client with cystic fibrosis to assist in mobi-lizing the thick pulmonary secretions. Percussion is contraindicated in clients with bleeding dis-orders, such as the client with thrombocytopenia. Percussion is also contraindicated in the client with osteoporosis and the client with a spinal fracture or with fractured ribs.

Answer to Question 2

ANS: 2
Mental status changes are often the first signs of respiratory problems and may include restless-ness and irritability. Cyanosis is a late sign of hypoxia. A decreased respiratory rate is not an early sign of hypoxia. The respiratory rate will increase as the body attempts to compensate for the de-creased level of oxygen. As the hypoxia worsens, the respiratory rate may decline. During early stages of hypoxia the blood pressure is elevated unless the condition is caused by shock.