A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?
Asthma exacerbation
Pulmonary embolism
Pneumothorax
Pulmonary edema
The Correct Answer is C
A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Atrioventricular (AV) node: The AV node conducts electrical signals from the atria to the ventricles, but it is not the pacemaker of the heart.
B. Bundle branches: The bundle branches transmit the electrical impulses to the ventricles but are not the primary pacemaker.
C. Bundle of His: The Bundle of His conducts electrical signals from the AV node to the bundle branches and ventricles but does not act as the pacemaker.
D. Sinoatrial (SA) node: The SA node, located in the right atrium, is the primary pacemaker of the heart, initiating electrical impulses that regulate heart rhythm.
Correct Answer is B
Explanation
A. Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B. This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C. While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D. While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.
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