Author Question: The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile ... (Read 28 times)

jwb375 · **on:** Jun 25, 2018

The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?

a. I am going to buy a rib binder to wear during the day.
b. I can take shallow breaths to prevent my chest from hurting.
c. I should plan on taking the pain pills only at bedtime so I can sleep.
d. I will use the incentive spirometer every hour or two during the day.

Question 2

Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?

a. Teach the patient to avoid the use of over-the-counter expectorants.
b. Assist the patient with chest physiotherapy and postural drainage.
c. Notify the health care provider immediately about any bloody or foul-smelling sputum.
d. Teach about the need for prolonged antibiotic therapy after discharge from the hospital.

ryansturges · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Prevention of the complications of atelectasis and pneumonia is a priority after rib fracture. This can be ensured by deep breathing and coughing. Use of a rib binder, shallow breathing, and taking pain medications only at night are likely to result in atelectasis.

Answer to Question 2

ANS: D
Long-term antibiotic therapy is needed for effective eradication of the infecting organisms in lung abscess. Chest physiotherapy and postural drainage are not recommended for lung abscess because they may lead to spread of the infection. Foul smelling and bloody sputum are common clinical manifestations in lung abscess. Expectorants may be used because the patient is encouraged to cough.