A client was driving a car without wearing a seat belt and slid off the road and hit a tree. The client's chest was crushed against a steering wheel. What type of lethal injury does the nurse anticipate the client may have suffered?

Bladder trauma

A pleural effusion

Fractured pelvis

Cardiac tamponade

Answer and Explanation

The Correct Answer is D

A. Bladder trauma: Bladder injuries are more commonly associated with lower abdominal or pelvic trauma, especially from a direct blow or pelvic fracture, not chest compression.
B. A pleural effusion: Pleural effusion refers to fluid accumulation in the pleural space, usually from infection, malignancy, or inflammation. It does not occur suddenly from blunt chest trauma.
C. Fractured pelvis: A pelvic fracture is typically caused by impact to the lower body or hip area, not by forceful chest compression against a steering wheel.
D. Cardiac tamponade: Blunt chest trauma can lead to bleeding into the pericardial sac, causing cardiac tamponade. This is a life-threatening condition where fluid compresses the heart, impairing its ability to pump effectively. It is a likely concern in cases of severe chest impact.

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Correct Answer is D

Explanation

A. The client is not at risk for infection from microorganisms: Leukemia and its treatment often cause immunosuppression, making clients more vulnerable to infections. This statement is inaccurate in the context of leukemia care.
B. Trauma and microabrasions from a non-electric razor may contribute to anemia: Minor skin injuries do not directly cause anemia, which in leukemia results from bone marrow suppression. However, these injuries can lead to bleeding, which is a greater concern.
C. Strong tissues and intact clotting mechanisms may prevent hemorrhage: Clients with leukemia often have impaired clotting due to thrombocytopenia. Assuming normal clotting is inappropriate, as these clients may bleed excessively even with minor trauma.
D. The client is at risk for spontaneous and uncontrolled bleeding: Thrombocytopenia is common in leukemia, increasing the risk of bleeding from even minor cuts. An electric razor minimizes the chance of skin injury and is a safety measure to prevent hemorrhage.

A. Physical activity B. Drawing C. Therapeutic communication D. Medication administration

Correct Answer is D

Explanation

A. Physical activity: Exercise may help reduce stress and improve overall well-being, but it does not directly target the positive symptoms of schizophrenia such as hallucinations or delusions.
B. Drawing: Art therapy can support emotional expression and reduce anxiety, but it is more beneficial for promoting general mental health and coping, not specifically controlling positive symptoms.
C. Therapeutic communication: Communication techniques are crucial for building trust and ensuring safety, but they are not sufficient on their own to manage hallucinations, delusions, or disorganized thinking.
D. Medication administration: Antipsychotic medications are the primary treatment for managing positive symptoms of schizophrenia. They help reduce hallucinations, delusions, and thought disturbances by modulating neurotransmitter activity in the brain.

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A client was driving a car without wearing a seat belt and slid off the road and hit a tree. The client's chest was crushed against a steering wheel. What type of lethal injury does the nurse anticipate the client may have suffered?

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Naxlex Comprehensive Predictor Exams

The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. What is the rationale for this statement by the nurse?

Correct Answer is D

Explanation

Which nursing action is most helpful in managing the positive symptoms of schizophrenia?

Correct Answer is D

Explanation

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