A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Lateral segment of the right lower lobe

Lateral segment of the left lower lobe

Posterior segment of the right middle lobe

Posterior segment of the right lower lobe

Answer and Explanation

The Correct Answer is A

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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Correct Answer is D

Explanation

A. Carvedilol does not significantly increase the risk of rhabdomyolysis when used with colchicine.

B. Omeprazole does not interact with colchicine in a way that increases the risk of rhabdomyolysis.

C. Hydrochlorothiazide does not have a known interaction with colchicine that significantly increases the risk of rhabdomyolysis.

D. Atorvastatin increases the risk of rhabdomyolysis when used with colchicine, as both can contribute to muscle damage.

Correct Answer is []

Explanation

Condition:

A. Transfusion-associated circulatory overload (TACO)

Rationale: The client’s symptoms—dyspnea, restlessness, crackles in the lungs, jugular vein distension, and elevated blood pressure—are consistent with TACO, a condition resulting from excessive fluid volume during a blood transfusion.

Actions to Take:

C. Administer furosemide

Rationale: Furosemide is a diuretic that helps reduce fluid overload, which is a key issue in TACO.

B. Administer diphenhydramine

Rationale: Although not the primary treatment for TACO, diphenhydramine can help manage symptoms if there is a mild allergic reaction contributing to the situation.

Parameters to Monitor:

A. Intake and output

Rationale: Monitoring intake and output helps assess fluid balance and effectiveness of treatment for TACO.

D. Weight

Rationale: Weight monitoring helps assess fluid overload and effectiveness of diuretic therapy

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A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication history of a client who has a new prescription for colchicine. Which of the following medications increases the client's risk when used in combination with colchicine for developing rhabdomyolysis?

Correct Answer is D

Explanation

Correct Answer is []

Explanation

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