Discuss the Nursing management of a patient with pleural effusion.

The nursing management of a patient with pleural effusion is focused on promoting respiratory function, managing symptoms, and preventing complications. Pleural effusion is the accumulation of excess fluid in the pleural space, which can impair lung expansion and lead to breathing difficulties.

Assessment: 
The nurse begins by assessing the patient's respiratory status, including respiratory rate, breath sounds, oxygen saturation, and the presence of any dyspnea or chest pain. The nurse should also inquire about any history of recent infections, trauma, or chronic conditions like heart failure or malignancies, which may predispose the patient to pleural effusion. Inspection of the thorax for asymmetry or signs of respiratory distress is important, and palpation can reveal tactile fremitus changes or fluid accumulation.

Oxygenation and Airway Management: 
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