Pleural Effusion Case Study: A 40 year

Pleural Effusion Case Study: A 40 year old man is admitted to your medical floor with a diagnosis of pleural effusion. He complains of shortness of breath; pain in his chest; weakness; and a dry, irritating cough. His vital signs(VS) are 142/83, 118, respirations are 38 and labored and shallow, 102.1 F (38.9 C). His x-ray shows a large pleural effusion and pulmonary infiltrates in the right lower lobe consistent with pneumonitis. 1. Recognizing Cues: Which assessment findings are abnormal? 2. What is the difference between trans usage and exudate pleural effusion? The physician performs a thoracentesis and drains 1500mL of fluid. A specimen for culture and sensitivity is sent to the laboratory, and A.B. is started on cefuroxime (Ceftin) 1 g IV piggyback q8h. 1. What is thoracentesis? 2. What is the RN’s role for a thoracentesis? ,

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