A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?

Blockage of the ET tube by the client's tongue

Movement of the ET tube into the right main bronchus

Infection of the vocal cords

Passage of the ET tube into the esophagus

Answer and Explanation

The Correct Answer is B

A. Blockage of the ET tube by the client's tongue would not typically result in asymmetric chest wall expansion.
B. If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
C. Infection of the vocal cords is not related to the absence of chest wall expansion.
D. Passage of the ET tube into the esophagus would lead to the absence of breath sounds in both lungs, not just the left side.

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Correct Answer is A

Explanation

A. Comminuted is correct. A comminuted fracture occurs when the bone breaks into several pieces, which matches the description of the tibia being splintered into multiple fragments.

B. Impacted is incorrect. An impacted fracture occurs when the ends of the bone are driven into each other.

C. Transverse is incorrect. A transverse fracture occurs in a straight line across the bone shaft.

D. Oblique is incorrect. An oblique fracture occurs at an angle across the bone shaft.

A. The client is experiencing premature atrial contractions. B. The client has bilateral wheezes. C. The client has a decreased oxygen saturation level. D. The client has lower leg edema.

Correct Answer is A

Explanation

A. The client is experiencing premature atrial contractions is correct. Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.

B. The client has bilateral wheezes is incorrect. Wheezes affect lung function, not directly the accuracy of pulse pressure analysis for cardiac output.

C. The client has a decreased oxygen saturation level is incorrect. While it is a concern, it does not compromise pulse pressure readings directly.

D. The client has lower leg edema is incorrect. Edema affects peripheral circulation but does not directly compromise pulse pressure measurements for cardiac output.

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A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fractured tibia as a result of a fall. The client’s x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?

Correct Answer is A

Explanation

A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

Correct Answer is A

Explanation

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