Chapter 2.2 (Part 7)

Question 1

Defined broadly as a collection of fluid in the pleural space
usually occurs to secondary disease such as heart failure,
TB, Pneumonia, pulmonary infections.

Answer 1

Pleural Effusion

Question 2

A symptom, not a disease; may be produced by
numerous conditions

Answer 2

Pleural Effusion

Question 3

General Classification of Pleural Effusion

Answer 3

Transudative
Exudative

Question 4

accumulation of protein-poor, cell-poor fluid

Answer 4

Transudative effusion

Question 5

accumulation of
protein rich fluid

Answer 5

Exudative effusion

Question 6

Assessment findings

Answer 6

1. Dyspnea, dullness over affected area upon percussion, absent or decreased breath sounds over
   affected area, pleural pain, dry cough, pleural friction
   rub
2. Pallor, fatigue, fever, and night sweats (with
   empyema)

Question 7

Diagnostic test for Pleural effusion

Answer 7

a. Chest xray (250 cc)
b. Pleural Biopsy (Bronchogenic carcinoma)
c. Thoracentesis (w/ blood)

Question 8

Intervention

Answer 8

1. Assist with repeated thoracentesis.
2. Administer narcotics/sedatives as
   ordered to decrease pain.
   * 3. Assist with instillation of medication
   into pleural space (reposition client
   every 15 minutes to distribute the drug
   within the pleurae).
3. Place client in high-Fowler’s position
   to promote ventilation.