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. Male of Hispanic descent, age 28 years: While chronic fatigue syndrome (CFS) can affect anyone, it is less common in young males. This demographic is not considered to be at high statistical risk compared to others.
B. Female of African descent, age 42 years: Middle-aged women are at increased risk for CFS; however, epidemiological data show a higher prevalence among Caucasian women, especially in their 40s to 50s.
C. Female of Chinese descent, age 18 years: CFS is less frequently diagnosed in adolescents and young adults. While females are more commonly affected, age and ethnicity make this client a lower-risk candidate.
D. Female of Caucasian descent age 47 years: CFS most commonly affects middle-aged women, particularly those of Caucasian descent. This demographic profile aligns closely with known risk patterns for chronic fatigue syndrome.

A. Notify the physician. B. Recheck the apical pulse in 30 minutes. C. Administer the digoxin. D. Hold the digoxin.

Correct Answer is C

Explanation

A. Notify the physician: There is no immediate need to notify the provider since the heart rate is above the standard threshold for withholding digoxin. Clinical parameters are still within safe limits for administration.
B. Recheck the apical pulse in 30 minutes: Rechecking later may delay necessary therapy without cause. The heart rate is currently adequate, and there is no indication of bradycardia or instability.
C. Administer the digoxin: Digoxin is generally held if the apical heart rate is below 60 beats/minute in adults. Since the pulse is 62 and the client’s baseline is slightly higher, it is safe to administer the medication while continuing to monitor for any signs of bradycardia.
D. Hold the digoxin: Holding the dose is unnecessary unless the heart rate falls below 60 or there are signs of toxicity. In this case, the current rate does not warrant withholding the drug.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Correct Answer is D

Explanation

Before administering digoxin to a client with valvular disease, the nurse assesses the apical heart rate as 62 beats/minute. The client's usual rate ranges between 66 to 72 beats/minute. Which is the best action for the nurse to take?

Correct Answer is C

Explanation

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