SOLUTIONS GRADED A++
which condition will the nurse monitor signs and symptoms in the patient
following a bedside thoracentesis?
pneumothorax
What is thoracentesis?
Used to obtain specimen of pleural fluid for diagnosis, to remove pleural fluid, or to instill
medication. Chesk x-ray is always obtained after procedure to check for pneumothorax.
which type of fremitus will the nurse expect to note in a patient with a
pneumothorax?
absent fremitus
which type of fremitus will the nurse expect to note in a patient with pneumonia
or pulmonary edema?
increased fremitus
which type of fremitus will the nurse expect t o note in a patient with a pleural
effusion or lung hyperinflation?
decreased fremitus
sound with medium-intensity pitch and duration heard over areas of "mixed"
soild and lung tissue, such as top area of liver, partially consolidated lung tissue
(pneumonia_, or fluid filled pleural space
Dull
, soft, high- pitched sound of short duration heard over very dense tissue where air
is not present, such as posteir chest below level diaphragm
flat
loud, lower-pitched sound than normal resonance heard over hyperinflated lungs,
such as in COPD and acute asthma
hyperreasonace
low pitched sound heard over lungs
resonance
Drum like, loud, empty quailty sound heard over pneumothrax
tympany
What should be done after a transthoracic needle aspiration (TTNA) or
transbronchail biopsy to check for pneumothrax?
Chest x-ray
which diagnostic study is used to distinguish benign and cancerous lung
nodules?
positron emission tomography (PET)
which diagnostic test (s) will the nurse expect the provider to order when needing
to determine the efficiency of the air transfer in the lungs and tissue oxygenation
in a patient in respiratory distress?
pulse oximetry and arterial blood gases (ABGs)
which diagnostic procedure will the nurse anticipate the healthcare provider to
order to remove pleural fluid for analysis or to instill medication?
thoracentesis