For clients with atelectasis secondary to pneumothorax or pleural effusion, which of these treatments is indicated?
a. antibiotic therapy
b. mechanical ventilatory support
c. supplemental oxygen
d. thoracentesis or placement of thoracotomy tube
D
Medical management is directed at eliminating the cause of pleural inflammation, maintaining adequate oxygenation, and preventing complications such as atelectasis and pneumonia. If the pleural effusion is large, thoracentesis may be performed; continued fluid accumulation may require insertion of a chest tube for continuous drainage.
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A nurse discovers a client's suicide note that details the time, place, and means to commit suicide. What should be the priority nursing action, and why?
1. Administer lorazepam (Ativan) prn, because the client is angry about plan exposure. 2. Establish room restrictions, because the client's threat is an attempt to manipulate the staff. 3. Place client on one-to-one suicide precautions, because specific plans likely lead to attempts. 4. Call an emergency treatment team meeting, because the client's threat must be addressed.
You note that your patient has diaphoresis, generalized hyperthermia, and very soft and silklike skin. In the absence of a fever or recent exercise, you determine that the most likely cause of these findings is
a. hypothyroidism. c. hyperthyroidism. b. anxiety. d. peripheral vascular disease.
A nurse working in a PACU is responsible for conducting assessments on immediate postoperative clients. What is the purpose of these assessments?
A) To determine the length of time to recover from anesthesia B) To use intraoperative data as a basis for comparison C) To focus on cardiovascular data and findings D) To prevent complications from anesthesia and surgery
Why are standard precautions used in addition to transmission-based precautions? Explain your answer.
What will be an ideal response?