The nurse explains to the person with pneumonia in the left lung that being positioned in the good lung down offers the advantage of (select all that apply):
a. PaO2 rising in the good lung.
b. blood flow to bad lung being increased.
c. the dependent lung being better perfused.
d. dyspnea disappearing.
e. decreased hypoxia.
Question 2Which independent nursing measures are effective in aiding a patient to expectorate? (Select all that apply.)
a. Positioning in orthopneic position
b. Suctioning
c. Assisting to cough
d. Providing hydration
e. Starting IV fluids
f.
Starting mucolytic agents
Question 3What should the nurse do to keep the chest tubes from becoming occluded?
a. Irrigate tubes as needed
b. Prevent dependent loops
c. Loop the tube over the bed rail
d. Milk the tube frequently
Question 4How should a patient be positioned after a thoracentesis is completed and the dressing applied?
a. High Fowler
b. Semi-Fowler
c. Side lying on unaffected side
d. Prone
Question 5Which patient assessment indicates the most severe respiratory distress?
a. Nasal flaring, symmetrical chest wall expansion, SaO2 88
b. Abdominal breathing, SaO2 97
c. Substernal retraction, SaO2 84
d. Substernal retraction, SaO2 90
Question 6Which preoperative teaching should a nurse include for a person scheduled for a partial laryngectomy? (Select all that apply.)
a. Tracheal suction will be frequent
b. The presence of a temporary tracheotomy
c. That isolation will be required for 24 hours
d. The surgery involves removal of a diseased vocal cord
e. Some speech will be retained
f.
The sense of smell and taste will be lost
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