Author Question: The patient has pneumonia in the left lobe. The nurse should encourage him to lie in which of the ... (Read 62 times)

Themember4 · **on:** Jul 22, 2018

The patient has pneumonia in the left lobe. The nurse should encourage him to lie in which of the following positions?

a. With the unaffected lung down
b. On the affected side
c. On either side
d. Supine

Question 2

Which nursing assessment best measures cognitive functioning?

a. Administer a Mini-Mental Status Exam (MMSE).
b. Ask the patient his name, where he is, and what month it is.
c. Ask the patient's family if the patient is behaving normally.
d. Evaluate the patient's ability to read the newspaper.

sylvia · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A

Feedback
A A patient with unilateral lung disease (pneumothorax, atelectasis, pneumonia, thoracotomy, etc., affecting one lung) should be positioned with the unaffected (good) lung down; this promotes better perfusion of the healthy lung, improving oxygenation.
B A patient with unilateral lung disease should be positioned with the unaffected lung down, not on the affected side.
C A patient with unilateral lung disease should be positioned with the unaffected lung down, not on either side.
D A patient with unilateral lung disease should be positioned with the unaffected lung down, not in a supine position.

Answer to Question 2

A
The MMSE is a formal diagnostic tool that is used to assess a patient's level of cognitive functioning. Asking the patient orientation questions evaluates only the patient's orientation to self and surroundings, not abstract reasoning or critical thinking ability. Family members are not the most reliable source of information about the patient, although information received from the family should be considered. Reading a paper is not a means of comprehensive assessment; in addition, a patient may be high cognitive functioning and not know how to read English.