A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?
Bronchoscopy.
Chest tube insertion.
Endotracheal intubation.
Pulmonary function test.
The Correct Answer is B
Choice A reason: Bronchoscopy is used for visualizing the airways and not for treating a pneumothorax.
Choice B reason:
The correct answer is b) because absent breath sounds on one side and increasing dyspnea suggest a pneumothorax, which requires chest tube insertion to re-expand the lung.
Choice C reason: Endotracheal intubation is for airway management but does not address the underlying pneumothorax.
Choice D reason: Pulmonary function tests are not relevant in an emergency situation with suspected pneumothorax.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Assessing the extremity reflexes is important for evaluating neurological function but is not the immediate priority.
Choice B reason: Logrolling to change positions is a technique used to maintain spinal alignment, but it is not the first intervention to ensure immediate safety.
Choice C reason:
The correct answer is c) because immobilizing the head in anatomical alignment is crucial to prevent further injury to the spinal cord. Proper immobilization helps stabilize the cervical spine and protects the spinal cord from additional damage.
Choice D reason: Obtaining hourly neurological assessments is important for monitoring the client's condition but comes after ensuring the cervical spine is properly immobilized.
Correct Answer is D
Explanation
Choice A reason: Decreased weeping is not the primary expected therapeutic response of urea cream.
Choice B reason: Reduced pain is beneficial but not the primary expected response.
Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response.
Choice D reason:
The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for eczema management.
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