When assessing a 12-year-old girl with the diagnosis of pneumonia, the nurse performs percussion. The lower left lobe is noted to have a dull sound. What should the nurse do next?
1. Call the doctor with the assessment.
2. Check the orders and start chest physiotherapy.
3. Palpate the chest to check for tactile fremitus.
4. Place the child on oxygen.
4
Feedback
1. The doctor will need to be called after oxygen is applied because the first priority is to maintain oxygen saturation in order to prevent further respiratory distress.
2. The child needs immediate intervention.
3. Tactile fremitus will be increased due to the pneumonia.
4. The assessment indicates that the child has a lower lobe that is not expanding and needs oxygen supplementation in order to maintain saturation levels.
You might also like to view...
In order to make reading and studying easier, the nursing student will:
1. review the table of contents and look over appendices of the textbook. 2. study whenever a few minutes are free. 3. take long detailed notes. 4. highlight as the assignments are read. 5.
The nurse reminds a family that people with autism are also referred to as ________
ANS:
The nurse preparing a teaching plan ensures that the information is tailored to the client's life experiences and learning level. These are examples of which right of teaching?
a. Time b. Context c. Content d. Method
It is most important for the nurse to include which instruction in the healthcare teaching of a client who has had laryngeal papillomas removed?
1. "If you experience recurrent hoarseness, come in for a check-up.". 2. "Papillomas rarely cause airway obstruction.". 3. "Next time, we can remove them in the office, so no admission is necessary.". 4. "You should come in if you have worsening respiratory distress, so we can intubate you quickly.".