B.K.'s respirations become increasingly labored, and you call the rapid response team
While waiting for the team to arrive, you continue a quick assessment, with findings as follows: Lung sounds absent in the LLL and very diminished in the right lower lobe (RLL). You percuss a dull thud over the left middle lobe (LML) and LLL up to the scapula tip. On percussion, you hear resonance over the entire right lung and left upper lobe (LUL).
What is the significance of your findings?
Absence of breath sounds plus a dull thud on percussion indicate either the accumulation of
fluid (blood or serous) in the pleural space (pleural effusion) or consolidation (e.g., pneumonia,
pulmonary edema, and lung abscess).
You might also like to view...
A patient has schizophrenia and is troubled by negative symptoms, muscle stiffness, and motor restlessness
His Advanced Practice Nurse (APN) is considering changing the patient's antipsychotic medication, haloperidol (Haldol, a typical or first generation antipsychotic drug). For planning purposes, which medication can the nurse assume that the APN will probably choose? a. Chlorpromazine (Thorazine) b. Clozapine (Clozaril) c. Olanzapine (Zyprexa) d. Fluoxetine (Prozac)
A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?
A) Maintain the client in a sitting position for as long as possible. B) Elevate the rest of the client's body slightly above the neck and head. C) Position the neck and head in line with the rest of the client's body. D) Elevate the client's head slightly while keeping the neck neutral.
As part of secondary prevention, the community health nurse engages in crisis intervention to achieve which of the following?
A) Reestablish equilibrium to the lives of those involved B) Prevent the crisis altogether C) Involve as many people as possible in the resolution D) Triage clients during the recovery phase of the crisis
Which intervention would help prevent falls in an older client?
1. Check vision every 5 years. 2. Exercise regularly. 3. Place socks on feet. 4. Turn the light on after getting out of bed.