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Author Question: A patient with bacterial pneumonia has rhonchi and thick sputum. What is the nurse's most ... (Read 73 times)

SGallaher96

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on: Jun 25, 2018
A patient with bacterial pneumonia has rhonchi and thick sputum. What is the nurse's most appropriate action to promote airway clearance?
 
  a. Assist the patient to splint the chest when coughing.
  b. Teach the patient about the need for fluid restrictions.
  c. Encourage the patient to wear the nasal oxygen cannula.
  d. Instruct the patient on the pursed lip breathing technique.

Question 2

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?
 
  a. Increased tactile fremitus
  b. Dry, nonproductive cough
  c. Hyperresonance to percussion
  d. A grating sound on auscultation


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emilymalinowski12

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Coughing is less painful and more likely to be effective when the patient splints the chest during coughing. Fluids should be encouraged to help liquefy secretions. Nasal oxygen will improve gas exchange, but will not improve airway clearance. Pursed lip breathing is used to improve gas exchange in patients with COPD, but will not improve airway clearance.

Answer to Question 2

ANS: A
Increased tactile fremitus over the area of pulmonary consolidation is expected with bacterial pneumonias. Dullness to percussion would be expected. Pneumococcal pneumonia typically presents with a loose, productive cough. Adventitious breath sounds such as crackles and wheezes are typical. A grating sound is more representative of a pleural friction rub rather than pneumonia.


SGallaher96

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Reply #2 on: Jun 25, 2018
Thank you


emilymalinowski12

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Reply #3 on: Jun 25, 2018
No problemo


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