Ati lpn level 3 med surg resp test
Ati lpn level 3 med surg resp test ( 14 Questions)
A nurse is caring for a client who has pneumonia and is coughing up secretions. Which of the following actions should the nurse take first?
Encourage the client to cough and deep breathe. Encouraging the client to cough and deep breathe promotes the clearance of secretions and improves lung expansion, which is critical in treating pneumonia.
Encourage the client to increase oral fluids: This helps to thin secretions, but encouraging deep breathing and coughing is more immediate and effective for clearing secretions.
Provide chest percussion on the client: Chest percussion helps mobilize secretions but is not the priority before ensuring the client is actively coughing and deep breathing.
Obtain the client’s temperature: While monitoring vital signs is important, clearing secretions is the priority for improving respiratory status in pneumonia.
A. Encourage the client to cough and deep breathe. Encouraging the client to cough and deep breathe promotes the clearance of secretions and improves lung expansion, which is critical in treating pneumonia.
B. Encourage the client to increase oral fluids: This helps to thin secretions, but encouraging deep breathing and coughing is more immediate and effective for clearing secretions.
C. Provide chest percussion on the client: Chest percussion helps mobilize secretions but is not the priority before ensuring the client is actively coughing and deep breathing.
D. Obtain the client’s temperature: While monitoring vital signs is important, clearing secretions is the priority for improving respiratory status in pneumonia.