A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

diabetic neuropathy.

postherpetic neuralgia.

visceral pain.

trigeminal neuralgia.

Answer and Explanation

The Correct Answer is D

A.   Diabetic neuropathy is a type of nerve damage that occurs due to prolonged high blood sugar levels associated with diabetes. While diabetic neuropathy can cause pain, it's usually more generalized and affects extremities rather than specific areas like the mouth and teeth.
B.   Postherpetic neuralgia is a condition that occurs as a complication of shingles (herpes zoster). It involves persistent nerve pain in the area where the shingles rash occurred, typically affecting the skin. The pain is usually described as burning or aching rather than stabbing, and it is localized to the area previously affected by the rash.
C.   Visceral pain originates from the internal organs (viscera) and is typically described as a deep, aching, or cramping pain. It is often associated with conditions like gastrointestinal or gynecological issues.
D.   Trigeminal neuralgia is a condition characterized by sudden, severe, sharp, stabbing pain along the distribution of the trigeminal nerve, which innervates the face. The pain can be triggered by activities such as brushing teeth, talking, or touching the face.

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Correct Answer is ["D","E"]

Explanation

A. Thoracic muscle tenderness is not directly associated with intercostal retraction. Muscle tenderness may occur due to overuse or strain but does not cause the retraction of the intercostal spaces. It is more related to musculoskeletal issues rather than respiratory conditions.
B. Barrel chest refers to an increased anterior-posterior chest diameter, often seen in chronic obstructive pulmonary disease (COPD) and emphysema. While barrel chest can indicate chronic lung conditions that might cause respiratory distress, it does not directly cause intercostal retraction.
C. Pectus excavatum, or "funnel chest," is a congenital deformity where the sternum is depressed inward, giving the chest a sunken appearance. However, pectus excavatum itself does not directly cause retractions but can be associated with increased respiratory effort.
D. Atelectasis refers to the collapse of part or all of a lung, leading to decreased lung volume. This condition often results in increased respiratory effort and can be associated with intercostal retractions as the body struggles to expand the collapsed lung areas and improve ventilation.
E. Obstruction of the airways, such as from a foreign body, mucus plug, or severe bronchoconstriction, can lead to increased respiratory effort as the client tries to overcome the obstruction. This increased effort often results in visible signs of respiratory distress, including intercostal retraction.

A. Atelectasis B. Pulmonary obstruction C. Pneumonia D. Bronchitis

Correct Answer is C

Explanation

A. Atelectasis refers to the collapse or incomplete expansion of a lung or a portion of a lung. It can cause decreased breath sounds and dullness upon percussion, but it is less likely to present with a fever as high as 102.1°F. However, atelectasis can occur secondary to an obstructive pneumonia, making the distinction important in clinical settings.
B. Pulmonary obstruction, such as from an obstruction of the airway or bronchus, might cause symptoms like difficulty breathing and decreased oxygen saturation. However, it would less commonly present with fever and localized crackles.
C. Pneumonia often presents with symptoms such as fever (elevated temperature of 102.1°F), increased respiratory rate (30 breaths per minute), decreased oxygen saturation (90% on room air), and abnormal lung findings. The decreased expansion and dullness over the right lung, along with crackles (rales) heard in the right lower lobe, are indicative of fluid accumulation and inflammation in the lung, which are characteristic of pneumonia.
D. Acute bronchitis involves inflammation of the bronchi and is often associated with a cough, sputum production, and sometimes fever. However, it typically presents with a productive cough and wheezing rather than localized dullness and crackles confined to one lobe.

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A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is observing the respiratory effort of a client, and notes that the client's intercostal spaces are retracting on inspiration. The nurse will assess the client for the presence of which condition(s)? Select All That Apply

Correct Answer is ["D","E"]

Explanation

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?

Correct Answer is C

Explanation

The clinic nurse prepares to perform a focused assessment on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which assessments should the nurse include for this focused assessment? Select the three options that apply.

The nurse is assessing the client's respiratory system. Which method will result in the most accurate assessment of the client's respiratory rate?

Breast pain that is not associated with the menstrual cycle and has no precipitating factors is documented using which term?

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A client with a diagnosis of pleural inflammation is admitted to the hospital with respiratory distress. Which type of adventitious lung sounds should the nurse expect to hear upon auscultation?

The medical-surgical charge nurse is conducting a training workshop for a group of new nurses. Which information would the nurse include in the training as secondary data sources of a client's respiratory system? Select all that apply.

The nurse is caring for 4 clients. Which client is at highest risk for skin breakdown?

A nurse in an emergency department (ED) is admitting a client. Select 3 findings in the client's medical record that may be indicative of bronchitis.