A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD. The patient has a 15-year history of emphysema and bronchitis. On inspection, the nurse observes that the patient is experiencing air trapping
While auscultating the chest, the nurse notes the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes. On percussion of the lung fields, a patient with emphysema will predictably exhibit which tone? a. Resonance c. Tympany
b. Hyperresonance d. Dullness
B
The percussion tone of hyperresonance is heard with emphysema related to overinflation of the lung. Resonance can be found in normal lungs or with the diagnosis of bronchitis. Tympany occurs with the diagnosis of large pneumothorax and emphysematous blebs. Dullness occurs with the diagnosis of atelectasis, pleural effusion, pulmonary edema, pneumonia, and a lung mass.
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A) Jaundice B) Iron deficiency C) Lactose intolerance D) Gastroesophageal reflux disease (GERD)
The client states, "I had a bad night. I didn't get any sleep." Which remark by the nurse is most therapeutic?
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A patient requests and is given an oral antihistamine for hay fever. The patient later complains that the medication causes stomach upset. What recommendation should the nurse make to help reduce the stomach upset?
a. Take frequent sips of liquids to reduce this effect. b. Take the medication with an antacid. c. Discontinue the drug because this is a serious adverse effect. d. Take the medication with meals to decrease this effect.
A patient, diagnosed with leukemia, has minimal white blood cells. The nurse realizes that which of the following would be applicable for this patient?
1. infusion of red blood cells 2. infusion of fresh frozen plasma 3. immunizations 4. bone marrow transplant