NCLEX RN Practice Question # 591

NCLEX Examination.

Practice Question # 591.


 

nclex

Pneumonia Diagnose

PNEUMONIA AND ATELECTASIS

Description

1. Pneumonia: An inflammation of the alveoli caused by an infectious process that may develop 3 to 5 days postoperatively as a result of infection, aspiration, or immobility
2. Atelectasis: A collapsed or airless state of the lung that may be the result of airway obstruction caused by accumulated secretions or failure of the client to deep breathe or ambulate about after surgery; a postoperative complication that usually occurs 1 to 2 days after surgery

Assessment

1. Assess for factors that may increase the risk of pneumonia and atelectasis.
2. Assess for dyspnea and increased respiratory rate.
3. Assess for crackles over involved lung area.
4. Assess for elevated temperature.
5. Assess for productive cough and chest pain.

Interventions

1. Assess lung and breath sounds.
2. Reposition the client every 1 to 2 hours.
3. Encourage the client to deep breathe, cough, and use the incentive spirometer.
4. Provide chest physiotherapy and postural drainage, as prescribed.
5. Encourage fluid intake and early ambulation.
6. Use suction to clear secretions if the client is unable to cough.

Leave a Reply