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That means our NCLEX-RN exam resources are inexpensive in price but outstanding in quality to help you stand out among the average.NEW QUESTION 22
A client was admitted with rib fractures and a pneumothorax, which were sustained as a result of a motor vehicle accident. A chest tube was placed on the left side to reinflate his lung, and he was transferred to a client unit. Twenty-four hours after admission he continues to have bloody sputum, develops increasing hypoxemia, and his chest x-ray shows patchy infiltrates. The nurse analyzes these symptoms as being consistent with:- A. Tension pneumothorax
- B. Pulmonary edema
- C. Pneumonia
- D. Pulmonary contusions
Answer: D
Explanation:
Explanation
(A) Pneumonia may be reflected by patchy infiltrates. In addition, fever, an increasing white blood cell count, and copious sputum production would be present. (B) Blunt chest traumacauses a bruising process in which interstitial and alveolar edema and hemorrhage occur. This is manifest by gradual deterioration over 24 hours of arterial blood gases and the continued production of bloody sputum. Patchy infiltrates are evident on chest xray 24 hours postinjury. (C) Pulmonary edema usually results from left heart failure. It is manifest by pink, frothy sputum; increasing dyspnea; tachycardia; and crackles on auscultation. (D) Tension pneumothorax is a potential complication for someone with rib fractures and a chest tube. It is manifest by diminished breath sounds on the affected side, rapidly deteriorating arterial blood gases in the presence of an open airway, and shock that is unexplained by other injuries.
NEW QUESTION 23
During an examination, the nurse notes that an infant has diaper rash on the convex surfaces of his buttocks, inner thighs, and scrotum. Which of the following nursing interventions will be most effective in resolving the condition?- A. Cleaning the inflamed area thoroughly with disposable wet "wipes" at each diaper change
- B. Removing the diaper entirely for extended periods of time
- C. Coating the inflamed areas with zinc oxide
- D. Using talcum powder on the inflamed areas to promote drying
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Zinc oxide is not usually applied to inflamed areas because it contributes to sweat retention. (B) Talcum powder is of questionable benefit and poses a hazard of accidental inhalation. (C) Removing the diaper and exposing the area to air and light facilitate drying and healing. (D) Infants may be sensitive to one or more agents in the wet "wipes." It is better to simply clean with a wet cloth.
NEW QUESTION 24
Prior to an amniocentesis, a fetal ultrasound is done in order to:- A. Locate the position of the placenta and fetus
- B. Evaluate fetal lung maturity
- C. Ensure that the fetus is mature enough to perform the amniocentesis
- D. Evaluate the amount of amniotic fluid
Answer: A
Explanation:
Section: Questions Set D
Explanation:
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C) Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of pregnancy.
NEW QUESTION 25
Assessment of the client with pericarditis may reveal which of the following?- A. Pericardial tamponade and widened pulse pressure
- B. Ventricular gallop and substernal chest pain
- C. Pericardial friction rub and pain on deep inspiration
- D. Narrowed pulse pressure and shortness of breath
Answer: C
Explanation:
Explanation
(A) No S3 or S4 are noted with pericarditis. (B) No change in pulse pressure occurs. (C) The symptoms of pericarditis vary with the cause, but they usually include chest pain, dyspnea, tachycardia, rise in temperature, and friction rub caused by fibrin or other deposits. The pain seen with pericarditis typically worsens with deep inspiration. (D) Tamponade is not typically seen early on, and no change in pulse pressure occurs.
NEW QUESTION 26
A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:- A. Grow more rapidly than malignant tumors
- B. Can be just as dangerous as malignant tumors
- C. Do not warrant concern because they do not become malignant tumors
- D. Can be removed surgically
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure. (B) Benign or malignant brain tumors grow at different rates depending on the type of tumor. (C) Some benign tumors do become malignant tumors. (D) Whether or not a tumor is operable depends on its location and the amount of damage its removal will cause.
NEW QUESTION 27
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