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CASE STUDY:

After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the right base posteriorly. MN's right middle lobe and right lower lobe percuss slightly dull. MN splints her right side when attempting to take a deep breath. You suspect that she is developing atelectasis. Lung Expansion Teaching Instructions Essay Example

1) Based on the above assessment statement, identify 5 interventions that you would include in your care plan.

2) Radiology calls with a report from the radiologist on the morning CXR. MN has atelectasis. Would you change anything that you had already planned for MN? Explain what you would do differently if MN had pneumonia.

3) What discharge teaching instructions will you include for MN? State rationale with each teaching point. Include information regarding diet, medications (pain medications), activity, and wound care.
Step 1/2

Five interventions that can be included in the care plan for MN's atelectasis are:

Encourage MN to take deep breaths and cough frequently to promote lung expansion and clearance of secretions.
Administer bronchodilators and/or nebulizers as ordered to help open up the airways and improve ventilation.
Assist MN with repositioning and turning every 2 hours to improve lung ventilation and prevent further atelectasis.
Encourage ambulation and mobilization to promote lung expansion and prevent complications associated with immobility.
Provide pain management as needed to help alleviate discomfort and encourage deep breathing and coughing.
Step 2/2

2. If the radiology report confirms atelectasis, the care plan may remain the same. However, if MN had pneumonia, antibiotics would need to be added to the care plan to treat the underlying infection.
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3. Discharge teaching instructions for MN with atelectasis could include:

Encourage MN to continue deep breathing and coughing exercises at home to prevent further atelectasis and improve lung function. Rationale: Deep breathing and coughing can help clear secretions and improve lung expansion.
Advise MN to take pain medications as needed for pain relief, but to also take them after deep breathing and coughing to help alleviate discomfort and promote lung expansion. Rationale: Pain medications can reduce discomfort associated with atelectasis, but they can also suppress coughing and breathing efforts if taken excessively.
Encourage MN to gradually increase physical activity and exercise as tolerated, while avoiding activities that may cause shortness of breath. Rationale: Physical activity can help prevent complications associated with immobility and promote lung expansion, but it should be done gradually and within MN's tolerance level.
Instruct MN to follow a healthy and balanced diet rich in fruits, vegetables, and protein to promote healing and overall health. Rationale: A healthy diet can provide essential nutrients needed for healing and support overall health.
Provide wound care instructions if MN had surgery, including wound care techniques and signs of infection to watch for. Rationale: Proper wound care can help prevent infections and promote healing.

Summary: MN is experiencing atelectasis, which requires interventions to improve lung function and prevent complications associated with immobility. Discharge teaching instructions should focus on promoting lung expansion, pain management, physical activity, a healthy diet, and wound care if applicable. For better understanding go through the steps. Lung Expansion Teaching Instructions Essay Example

Expert Answer

CASE STUDY: After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the right base posteriorly. MN's right middle lobe and right lower lobe percuss slightly dull. MN splints her right side when attempting to take a deep breath. You suspect that she is developing atelectasis. Lung Expansion Teaching Instructions Essay Example 1) Based on the above assessment statement, identify 5 interventions that you would include in your care plan. 2) Radiology calls with a report from the radiologist on the morning CXR. MN has atelectasis. Would you change anything that you had already planned for MN? Explain what you would do differently if MN had pneumonia. 3) What discharge teaching instructions will you include for MN? State rationale with each teaching point. Include information regarding diet, medications (pain medications), activity, and wound care.

Step 1/2

Five interventions that can be included in the care plan for MN's atelectasis are:

Encourage MN to take deep breaths and cough frequently to promote lung expansion and clearance of secretions.
Administer bronchodilators and/or nebulizers as ordered to help open up the airways and improve ventilation.
Assist MN with repositioning and turning every 2 hours to improve lung ventilation and prevent further atelectasis.
Encourage ambulation and mobilization to promote lung expansion and prevent complications associated with immobility.
Provide pain management as needed to help alleviate discomfort and encourage deep breathing and coughing.
Step 2/2
2. If the radiology report confirms atelectasis, the care plan may remain the same. However, if MN had pneumonia, antibiotics would need to be added to the care plan to treat the underlying infection.
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3. Discharge teaching instructions for MN with atelectasis could include:

Encourage MN to continue deep breathing and coughing exercises at home to prevent further atelectasis and improve lung function. Rationale: Deep breathing and coughing can help clear secretions and improve lung expansion.

Advise MN to take pain medications as needed for pain relief, but to also take them after deep breathing and coughing to help alleviate discomfort and promote lung expansion. Rationale: Pain medications can reduce discomfort associated with atelectasis, but they can also suppress coughing and breathing efforts if taken excessively.

Encourage MN to gradually increase physical activity and exercise as tolerated, while avoiding activities that may cause shortness of breath. Rationale: Physical activity can help prevent complications associated with immobility and promote lung expansion, but it should be done gradually and within MN's tolerance level.

Instruct MN to follow a healthy and balanced diet rich in fruits, vegetables, and protein to promote healing and overall health. Rationale: A healthy diet can provide essential nutrients needed for healing and support overall health.

Provide wound care instructions if MN had surgery, including wound care techniques and signs of infection to watch for. Rationale: Proper wound care can help prevent infections and promote healing.

Summary: MN is experiencing atelectasis, which requires interventions to improve lung function and prevent complications associated with immobility. Discharge teaching instructions should focus on promoting lung expansion, pain management, physical activity, a healthy diet, and wound care if applicable. For better understanding go through the steps. Lung Expansion Teaching Instructions Essay Example

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