A patient recovering from a lung transplant will have denervation ...

[sc00by25]

A patient recovering from a lung transplant will have denervation of the lung tissue. What should the nurse include when planning this patient's care?
 
  Select all that apply.
 
  1. administering mucolytics every 2 hours
  2. performing postural drainage twice a shift
  3. ensuring oxygen delivery is below 2 liters
  4. scheduling deep breathing and coughing every 2 hours
  5. positioning for chest vibration and percussion twice per shift

Question 2

During an assessment the nurse suspects that a patient has chronic bronchitis. On what assessment findings is the nurse basing this clinical decision?
 
  Select all that apply.
 
  1. barrel chest
  2. smoking 1 ppd
  3. diminished breath sounds
  4. persistent productive cough
  5. wheezes and rhonchi lung sounds

[wshriver]

Answer to Question 1

Correct Answer: 2, 4, 5
Denervation of the transplanted lung eliminates the usual cough stimuli. Regularly scheduled coughing and deep breathing and the use of vibration, percussion, and postural drainage are important to prevent accumulation of secretions. Mucolytics and oxygen will not help with denervation of the lung tissue.

Answer to Question 2

Correct Answer: 2, 4, 5
Smoking, persistent and productive coughing, and the adventitious breath sounds of wheezing and rhonchi are associated with chronic bronchitis. Barrel chest and diminished breath sounds are associated with emphysema.

[sc00by25]

Thank you

[wshriver]

No problemo