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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Avoiding driving is important but not the most critical instruction.

Choice B reason:

The correct answer is b) because drinking plenty of water helps flush the bladder, reduce the risk of infection, and prevent blood clots.

Choice C reason: Eliminating spicy foods may help with overall comfort but is not as important as maintaining proper hydration.

Choice D reason: Clamping the catheter during a shower is not necessary and could cause complications.

A. Arthritic joint changes and chronic pain. B. Lower back pain and hypotension. C. Acute rhinitis and nasal stuffiness. D. Delayed painful rash with urticaria.

Correct Answer is B

Explanation

Choice A reason: Arthritic joint changes and chronic pain are not related to an ABO incompatibility reaction.

Choice B reason:

The correct answer is b) because lower back pain and hypotension are signs of a hemolytic transfusion reaction, which requires immediate intervention.

Choice C reason: Acute rhinitis and nasal stuffiness are not related to an ABO incompatibility reaction.

Choice D reason: Delayed painful rash with urticaria can indicate an allergic reaction but is not specific to a hemolytic transfusion reaction.

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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?

Nursing Test Bank

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