Question

Your assessment findings are as follows: Vital signs 94/72, 109, 32, 100.80 F (38.2 C), Spo2 89% on room air. You auscultate decreased breath sounds and coarse crackles in the left lower lobe posteriorly. M.M. is alert and oriented to name. He does not answer all your questions and is unable to follow simple instructions. There is minimal eye contact and he continues to look furtively out the window. The rest of his assessment is remarkable. You believe his delirium may be associated with hypoxia and fever from atelectasis.

Another nurse tells you that you must apply restraints to protect M.M. from injury. How do you respond?

Answer 1

Patients with atelectasis have common clinical symptoms like increased respiratory rate and reduced oxygen saturation

On examination, the patient may have fine crackles over the affected pulmonary tissue and reduced oxygen saturation and low grade of fever

above finding show the feature of atelectasis

first, we ensure that airways are opened maximally and coughing is performed effectively then we go to

deep breathing exercises and chest physiotherapy and we ignore other nurse sugeestion and will do these