A nurse is providing care for a patient who has been admitted with a newly diagnosed bilateral pleural effusion
Which of the following findings from the nurse's initial assessment of the patient is incongruent with the patient's diagnosis and would require further investigation?
A)
The client complains of sharp pain exacerbated by deep inspiration.
B)
The client's breath sounds are diminished on auscultation.
C)
Pulse oximetry indicates that the client is hypoxemic.
D)
The client complains of dyspnea and increased work of breathing.
Ans:
A
Feedback:
Pleural effusion is not normally associated with pain, and intense pain that is worsened by deep breathing would necessitate further investigation. Diminished breath sounds, hypoxemia, and dyspnea are common findings associated with pleural effusion.
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