Rasmussen Nur2571 Final Exam (Respiratory/cardiac)

A client is scheduled for a partial nephrectomy. In teaching the client about postoperative care, the nurse uses which rationale to explain why aggressive measures are needed to prevent atelectasis and pneumonia? a. Nephrectomy involves paralyzing the intercostal muscles. b. Intraoperative surgical contamination of the pulmonary structures is unavoidable. c. The client must be maintained in a flat position for 24 hours. d. The surgery involves an upper abdominal or flank incision. {Ans: Answer: D; The proximity of the incision to the muscles involved in breathing and coughing makes the client breathe shallowly and avoid coughing because of the fear of pain. This can lead to atelectasis and pneumonia. The intercostal muscles are not paralyzed by nephrectomy. Pulmonary structures are not contaminated during surgery. The client should be turned and repositioned to reduce the risk of atelectasis and pneumonia. There is no need to lie flat for 24 hours.}Sickle - Cell Anemia (S/S) {Ans: Sever pain Fatigue Pallor Jaundice Low grade fever ** Priaprism Large joint inflammation Pain}Sickle - Cell Anemia (Patient Education) {Ans: Educate on prevention - Stay hydrated Avoid exposure to cold}Hemophilia C {Ans: Factor X deficiency}Asthma PFT diagnosis {Ans: Greater than 20%