A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?

Flail chest

Pulmonary contusion

Fractured rib

Tension pneumothorax

Answer and Explanation

The Correct Answer is D

A. Flail chest: Flail chest involves paradoxical chest wall movement and is not associated with tracheal deviation.

B. Pulmonary contusion: This involves lung tissue injury with potential respiratory distress but does not cause tracheal deviation.

C. Fractured rib: While it can cause pain and respiratory distress, it does not lead to tracheal deviation or absent breath sounds.

D. Tension pneumothorax: Tension pneumothorax is characterized by respiratory distress, absent breath sounds on the affected side, and tracheal deviation away from the affected side. It occurs due to the accumulation of air in the pleural space, causing increased intrathoracic pressure and shifting of mediastinal structures.

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Correct Answer is B

Explanation

A. Cocaine: While cocaine can cause cardiovascular and neurological complications, it is not a primary cause of liver cirrhosis.

B. Alcohol: Chronic alcohol use is the most common cause of liver cirrhosis, as excessive alcohol intake damages liver cells, leading to fibrosis and cirrhosis over time.

C. Inhalants: Inhalants can damage the liver but are not a leading cause of cirrhosis.

D. Caffeine: Caffeine has no established link to liver cirrhosis.

A. Administer supplemental oxygen to the client. B. Place a tongue depressor in the client's mouth. C. Turn the client to the side. D. Restrain the client. E. Time the duration of the seizure.

Correct Answer is ["A","C","E"]

Explanation

A. Administer supplemental oxygen to the client: Oxygen saturation is low (86%), and supplemental oxygen is necessary to address hypoxia.

B. Place a tongue depressor in the client’s mouth: Inserting objects into the mouth can cause injury and is contraindicated during a seizure.

C. Turn the client to the side: Turning the client reduces the risk of aspiration by allowing secretions or emesis to drain.

D. Restrain the client: Restraining the client may cause harm and is not recommended during seizure activity.

E. Time the duration of the seizure: Documenting seizure duration helps determine its severity and guides treatment decisions.

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A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

Correct Answer is B

Explanation

A nurse is caring for a client who has a seizure disorder. Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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