Tiffany H.

asked • 05/06/21

Clinical nursing question

A nurse summons you too assess a 300-pound, one-day post-operative cholecystectomy patient. He has no fever, has no productive cough, and has a negative chest x ray. He is, however, reluctant to change body position in bed. Auscultation reveals normal breath sound, but shows diffuse "crackles" in the posterior segments of the lower lobes. Specific first interventions would include:


A. Oxygen therapy 

B. Aerosol treatment every 4 hours until crackles are gone

C. Positive pressure hyperinflation therapy

D. "Shake-up" regimen


I think the answer is C, but my friends put D

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