Respiratory Therapy has an order to perform chest physiotherapy on your patient who has COPD. Your patient’s lung sounds are diminished, but free of secretions. What should the proper response be from the nurse to the respiratory therapist:
Hopefully this will help prevent her from getting pneumonia.
The technique could help loosen secretions I may not have heard with my stethoscope.
There is no need at this time to have chest physiotherapy at this time for this COPD patient.
You can perform the technique after and before she eats lunch.
The Correct Answer is B
Chest physiotherapy can help loosen secretions that may not be audible with a stethoscope. This can help improve the patient’s breathing and overall lung function.
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Related Questions
Correct Answer is C
Explanation
: Chest tube placement is done to remove air or fluid from the pleural space, which is the area between the lungs and the chest wall. The chest tube drainage system is an important tool to monitor and manage the drainage from the chest tube.
It is essential that the chest tube drainage system is placed below the level of the patient's chest and the site of insertion. This is necessary to create a continuous drainage system by allowing gravity to assist in the flow of air or fluid out of the pleural space. If the chest tube drainage system is placed above the insertion site, the fluid will not drain properly, which can cause the fluid to back up into the patient's chest cavity, leading to complications such as pneumothorax or hemothorax.
Therefore, the appropriate statement regarding a chest tube is that the chest tube drainage system must be placed below the site of insertion.
Correct Answer is B
Explanation
Fluid retention is a common complication in heart failure, and monitoring the client's fluid status is crucial to manage the condition effectively. Daily weights are an essential component of monitoring fluid status and are the most sensitive and practical method to detect changes in the client's fluid status. Weight gain is a reliable indicator of fluid retention, and even small increases in weight can indicate the need for changes in the client's treatment plan.
Although electrolyte monitoring (option a), output measurements (option c), and daily BUN and serum creatinine monitoring (option d) can provide valuable information about the client's fluid status, they are not as sensitive or practical as daily weights. Electrolyte monitoring can help detect changes in fluid balance, but it does not provide a direct indication of fluid status. Output measurements can indicate fluid loss, but they do not provide an accurate assessment of fluid retention. BUN and serum creatinine monitoring can detect changes in renal function, but they are not specific to fluid status.
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