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 B
Explanation
Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.
Choice B reason:
The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.
Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.
Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.
Correct Answer is D
Explanation
Choice A reason: Sleeping flat in a supine position may increase intraocular pressure.
Choice B reason: Observing the pupil response of the right eye is not relevant to the left eye procedure.
Choice C reason: Turning, coughing, and deep breathing are important post-surgery but not specific to cataract extraction.
Choice D reason:
The correct answer is d) because administering a stool softener helps prevent straining during bowel movements, which can increase intraocular pressure.
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