1. 1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Lower Respiratory Problems Chapter 28

2. 2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.A 56-year-old normally healthy patient at the clinic is diagnosed with community-acquired pneumonia. Before treatment is prescribed, the nurse asks the patient about an allergy to 1.amoxicillin. 2.erythromycin. 3.sulfonamides. 4.cephalosporins.

3. 3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.During the assessment of a patient with pneumonia, the nurse suspects the development of a pleural effusion upon finding 1.a barrel chest. 2.paradoxical respirations. 3.hyperresonance on percussion. 4.localized absence of breath sounds.

4. 4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A patient has two chest tubes from the left thorax connected with a Y-tube to water-seal drainage, where there is continuous bubbling in the suction control chamber of the collection device. The appropriate action by the nurse is to 1.document the suction level and amount of drainage. 2.strip and milk the tubing close to the patient to promote drainage. 3.auscultate the chest to detect a tension pneumothorax. 4.progressively clamp the chest tubes from the patient toward the drainage, while watching for a change in bubbling.