The nurse is assessing a client with a severe left pleural effusion. Which assessment data does the nurse anticipate based on the client's diagnosis? Select all that apply
1. Absent breath sounds on the left side.
2. Tracheal shift to the right.
3. Hyperresonance upon percussion.
4. Bronchial breath sounds of the right side.
5. Pleural friction rub auscultated.
Correct Answer: 1, 2, 5
In this condition, fluid accumulates in the pleural space and may result in absent breath sounds on the affected side, a tracheal shift to the unaffected side, and a pleural friction rub. The trapping of air in the alveoli will produce a sound of hyperresonance upon percussion. This is not a typical finding in someone who has been diagnosed with a pleural effusion. Bronchial breath sounds of the right side are not a typical finding in someone who has been diagnosed with a pleural effusion.
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