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Exhibits

The client undergoes several days of antibiotic and respiratory treatment for his pneumonia.

Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

A.

Oxygen saturation greater than 94%

B.

PaCO2 55 mm Hg per arterial blood gas

C.

Symmetric chest expansion

D.

Rhonchi in the right lung

E.

Client ambulates without shortness of breath

F.

Diminished breath sounds in the right lung

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

  • Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
  • PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
  • Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
  • Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
  • Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
  • Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.


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Related Questions

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

  • Hypoxia is a condition in which there is a deficiency of oxygen in the tissues, which is consistent with the client’s low oxygen saturation of 89% on room air and 97% on supplemental oxygen.
  • The diminished concentration of inhaled oxygen refers to the inadequate oxygen availability, which is a significant concern in pneumonia as it affects gas exchange in the lungs, leading to hypoxia.

Correct Answer is B

Explanation

A. Storing the medication at room temperature is appropriate and indicates correct understanding.
B. Priming the inhaler with 7 pumps is excessive. Generally, ipratropium inhalers require only 2-3 pumps to prime before first use, indicating that the client needs additional teaching on the proper priming technique.
C. Attaching a spacer device is a beneficial action that can enhance medication delivery and is recommended for use with metered-dose inhalers.
D. Rinsing the mouth after each use is good practice to minimize the risk of oral side effects, such as dryness or irritation.

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