A patient with a left-sided pleural effusion has decreased breath sounds and dullness to percussion over the left lower chest. Which nursing action is most appropriate?
Correct answer: A. Position the patient upright and monitor respiratory status
- A. Position the patient upright and monitor respiratory status
- B. Place the patient flat with the affected side uppermost
- C. Encourage forceful coughing every five minutes
- D. Apply pressure over the affected chest wall
Explanation
An upright position promotes lung expansion and eases ventilation while the patient is assessed for worsening distress. Pleural fluid reduces air entry and causes dullness, so forceful coughing or chest pressure does not correct the underlying problem.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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