When there is evidence that a client may have fluid in the lungs, ...

[cagreen833]

When there is evidence that a client may have fluid in the lungs, a nurse should first:
 
  A. Reposition the client
  B. Notify the physician
  C. Obtain a chest x-ray examination
  D. Have the client cough and deep breathe

Question 2

What should the nurse do for a patient with a sudden severe hemorrhage?
 
  a. Go for help.
  b. Drape the patient.
  c. Apply direct pressure.
  d. Put on clean or sterile gloves.

[ngr69]

Answer to Question 1

D
D. Client should cough and deep breathe first when dullness over lung tissue may be created by presence of fluid.
A. If chest excursion is reduced, depth of breathing is reduced by pain, postural deformity, or fatiguefirst reposition client.
B. Physician should be notified second when dullness over lung tissue may be created by presence of fluid.
C. Chest x-ray examination should be obtained third when dullness over lung tissue may be created by presence of fluid.

Answer to Question 2

C
Apply direct pressure immediately. Seek assistance after pressure is applied. Maintaining asepsis and privacy is considered only if time and severity of blood loss permit inclusion of these activities.

[cagreen833]

Gracias!

[kswal303]

TYSM