A patient arrives in the emergency department with an attack of acute bronchiectasis. Chest auscultation reveals the presence of copious secretions. What intervention should the nurse prioritize in this patient's care?
A) Oral administration of diuretics
B) Intravenous fluids to reduce the viscosity of secretions
C) Postural chest drainage
D) Pulmonary function testing
Ans: C
Feedback:
Postural drainage is part of all treatment plans for bronchiectasis, because draining of the bronchiectatic areas by gravity reduces the amount of secretions and the degree of infection. Diuretics and IV fluids will not aid in the mobilization of secretions. Lung function testing may be indicated, but this assessment will not relieve the patient's symptoms.
You might also like to view...
Psychosis is a severe mental illness characterized by what?
A) Disordered thought B) Increased social interaction C) Hypoactivity with aggressiveness D) Paranoid hallucinations
The rate of pregnancy and transmission of HIV is higher in the adolescent population than the general population of sexually active adults due to the fact that because adolescents:
a. Have more sexual partners b. Utilize ineffective contraception c. Have not been educated regarding sexuality d. Seek behaviors that reflect their need to be independent
A process that regards human beings as "stuff" to care about rather than knowledgeable participants of care is
A. Continuous knowing. B. Objectification. C. Substantiation. D. Participation.
Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes that she may be at risk of depression. Which of the following interventions is considered a primary suicide prevention measure?
A) Establishing a support system for the woman and teaching her some coping measures B) Beginning treatment with an SSRI C) Placing the woman on suicide precautions and establishing a no-suicide contract D) Beginning a course of therapy with a nurse–therapist or psychologist