Author Question: The nurse is caring for a patient experiencing atelectasis of the right lower lung lobe. What ... (Read 52 times)

soccerdreamer_17 · **on:** Jun 25, 2018

The nurse is caring for a patient experiencing atelectasis of the right lower lung lobe. What interventions should the nurse include in this patient's plan of care?

Select all that apply.

1. positioning on the left side
2. applying oxygen as prescribed
3. encouraging increased oral fluids
4. coaching to deep-breathe and cough
5. administering antibiotics as prescribed

Question 2

A chest CT scan confirms that a patient has bronchiectasis. On which problems should the nurse focus when determining the care this patient will need?

Select all that apply.

1. airway clearance
2. changes in fluid balance
3. ineffective breathing pattern
4. inability to provide self-care
5. insufficient nutritional intake

dreamfighter72 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4
Nursing care to prevent and treat atelectasis is directed toward airway clearance. The patient with atelectasis should be positioned on the unaffected side to promote gravity drainage of the affected segment. Frequent position changes, ambulation, coughing, and deep breathing should be encouraged. Unless contraindicated, fluid intake should be encouraged to help liquefy secretions. Oxygen and antibiotics are not indicated in the treatment of atelectasis.

Answer to Question 2

Correct Answer: 1, 3, 4, 5
Nursing care of the patient with bronchiectasis is similar to that for patients with other obstructive lung diseases. Airway clearance is a primary problem, as is ineffective breathing pattern. Other problems include impaired nutrition and inability to provide self-care. Fluid balance is not a potential problem for the patient with bronchiectasis.