This topic contains a solution. Click here to go to the answer

Author Question: The nurse is assessing a client with a severe left pleural effusion. Which assessment data does the ... (Read 70 times)

RYAN BANYAN

  • Hero Member
  • *****
  • Posts: 563
The nurse is assessing a client with a severe left pleural effusion. Which assessment data does the nurse anticipate based on the client's diagnosis? Select all that apply.
 
  1. Absent breath sounds on the left side.
  2. Tracheal shift to the right.
  3. Hyperresonance upon percussion.
  4. Bronchial breath sounds of the right side.
  5. Pleural friction rub auscultated.

Question 2

While palpating respiratory expansion on a client the nurse notes movement on only one side of the chest. Which conditions are associated with this assessment finding? Select all that apply.
 
  1. Atelectasis.
  2. Chronic bronchitis.
  3. Lobar pneumonia.
  4. Pleural effusion.
  5. Congestive heart failure.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

helenmarkerine

  • Sr. Member
  • ****
  • Posts: 324
Answer to Question 1

Correct Answer: 1, 2, 5
In this condition, fluid accumulates in the pleural space and may result in absent breath sounds on the affected side, a tracheal shift to the unaffected side, and a pleural friction rub. The trapping of air in the alveoli will produce a sound of hyperresonance upon percussion. This is not a typical finding in someone who has been diagnosed with a pleural effusion. Bronchial breath sounds of the right side are not a typical finding in someone who has been diagnosed with a pleural effusion.

Answer to Question 2

Correct Answer: 1, 3, 4
Atelectasis is a condition in which there is an obstruction of airflow. Lung tissue may collapse from airway obstruction, such as a mucous plug, lack of surfactant, or a compressed chest wall. Atelectasis will result in decreased lung expansion on the client's affected side. Lobar pneumonia is due to an infection that causes fluid, bacteria, and cellular debris to fill the alveoli. It may result in decreased lung expansion on the client's affected side. Pleural effusion refers to fluid accumulating in the pleural space. It may result in decreased lung expansion on the client's affected side. Chronic bronchitis results in chronic inflammation of the tracheobronchial tree, which leads to increased mucous production and blocked airways. It does not result in decreased lung expansion on one side. Congestive heart failure occurs when increased pressure in the pulmonary veins causes interstitial edema around the alveoli and may cause edema of the bronchial mucosa. It does not result in decreased lung expansion on one side.




RYAN BANYAN

  • Member
  • Posts: 563
Reply 2 on: Jun 25, 2018
Excellent


xoxo123

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

For a complete list of videos, visit our video library