NR 507 Week 3: Alterations in Pulmonary Function

NR 507 Week 3: Alterations in Pulmonary Function Restrictive disease manifestations - Correct Answer - Increased RR - Decreased tidal volume (VT) - Normal to decreased PaO2 - Shortness of Breath - Cough - Chest Pain/discomfort - Fatigue - History of weight loss The nurse should anticipate that the chest tube for a client recovering from a pneumothorax will be removed when: A. Chest drainage decreases to 125 mL in 24 hours. B. Chest x-ray shows atelectasis has resolved. C. Water-seal chamber no longer fluctuates with breathing. D. Breath sounds are present bilaterally in apical lobes. - Correct Answer C. Cessation of fluctuation in the water seal chamber when drainage system no longer attached to suction is an indication of re-expansion. A. is incorrect: there may have been little drainage if the chest tube was removing air, not blood; typically want less than 100 mL in 24 hours prior to removal. B. is incorrect - pneumothorax is a collapse of the lung: partial or complete not the alveoli; D. is incorrect: presence of breath sounds would need to be in all lobes Obstructive disease manifestations - Correct Answer - Mucus hypersecretion - Wheezes/rhonchi - Dyspnea