The patient is a 67-year-old male admitted

The patient is a 67-year-old male admitted to your unit after a fall from a roof. He has multiple rib fractures on the left side. His history is positive for hypertension and DMII. He is complaining of pain to the chest wall and left side. Breath sounds are diminished on the left due to the patient’s reluctance to deep breathe. The MD orders an incentive spirometer. What teaching will you provide for the incentive spirometer? (ULSO 2, 3, 5) Two days post admission the patient reports that there are birds in his room. SaO2 is 78. The patient is diaphoretic and in apparent respiratory distress. A CT scan of the chest reveals pneumonia and a lung abscess in the left lower lobe. The patient is at risk for empyema. Describe empyema, the symptoms, and treatment? (USLO 1, 2) The patient requires a thoracotomy for removal of a portion of the left lung. The patient returns to your unit with a chest tube. Describe the positioning of the patient post pneumonectomy. Include a rationale. (USLO 1, 6) What is the purpose of the chest tube in this patient? (USLO 1, 6) What will you assess on this patient in regard to the chest tube? SCIENCE HEALTH SCIENCE NURSING MEDSURG 242

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