Diaphragmatic excursion is a measurement of the difference in the ...

[CBme]

Diaphragmatic excursion is a measurement of the difference in the level of the diaphragm on inspiration and expiration determined by percussion. It is increased in
 
  a. atelectasis and emphysema.
  b. hepatomegaly and ascites.
  c. atelectasis and paralysis.
  d. pneumonia and pneumothorax.

Question 2

A patient was admitted to the critical care unit after a left pneumonectomy. The patient is receiving 40 oxygen via a simple facemask. The morning chest radiography study reveals right lower lobe pneumoni
 
  a. After eating breakfast, the patient suddenly vomits and aspirates. The patient becomes agitated, has decreased level of consciousness, and has an inability to maintain saturation. The nurse expects the next action will include
 
  a. placing the patient on a mechanical ventilator.
  b. change in antibiotics to control infection.
  c. suctioning and repositioning.
  d. administering a sedative to control anxiety.

[Rilsmarie951]

Answer to Question 1

C
Normal diaphragmatic excursion is 3 to 5 cm and is part of the percussion component of the physical examination. An assessment finding other than normal would indicate the need for further evaluation such as chest radiographic examination.

Answer to Question 2

A
Nursing interventions include optimizing oxygenation and ventilation, preventing the spread of infection, providing comfort and emotional support, and maintaining surveillance for complications.

[CBme]

Excellent

[yeungji]

Gracias!