A patient has developed pulmonary tuberculosis. Rank the findings in order of occurrence based on the normal progression of this disease.
Choice 1. The patient begins to feel better.
Choice 2. The patient is admitted to the hospital for treatment of pulmonary tuberculosis.
Choice 3. The patient does not complain of any symptoms associated with pulmonary tuberculosis.
Choice 4. The patient visits the physician's office with complaints of fatigue, night sweats, and has lost 10 pounds over the last 3 months.
Choice 5. The patient's purified protein derivative test is positive. The patient develops a cough with blood-tinged sputum. A chest x-ray indicates the presence of a cavitary lesion.
Question 2
The student nurse is learning how to care for patients who had thoracic surgery following a diagnosis of lung cancer. The intensive care unit nurse is assessing the student's understanding.
Which statements by the student indicate the need for further education?
Select all that apply.
1. I should assess the patient's respiratory system at least every four hours.
2. I really shouldn't even offer narcotic pain medications to this patient because it will result in severe respiratory depression.
3. If there are items that the patient needs frequently, I should keep them across the hospital room. This will ensure that the patient will get better faster.
4. The patient's head of bed should be maintained between 15 and 30 degrees.
5. The area between the visceral and parietal pleura must be filled with positive pressure to work appropriately, and this can be accomplished with a functioning chest tube.
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