A nurse is caring for a client who had a thoracentesis 2 hr ago. Which of the following findings should the nurse expect?
Crepitus at the puncture site
Dry, nonproductive cough
Increased lung expansion
Rapid, shallow respirations
The Correct Answer is C
Rationale:
A. Crepitus at the puncture site: Crepitus, or the sensation of air under the skin, may indicate subcutaneous emphysema, which is a complication that can occur after thoracentesis. It is not a normal finding and should be reported immediately.
B. Dry, nonproductive cough: A dry, nonproductive cough is not a typical finding immediately following thoracentesis. Coughing may be associated with post-procedure irritation but should not be expected as a common outcome.
C. Increased lung expansion: Increased lung expansion is the desired outcome after thoracentesis. The procedure removes excess pleural fluid, allowing the lung to expand more fully. This is a positive result that should be expected as the client recovers.
D. Rapid, shallow respirations: Rapid, shallow respirations can indicate respiratory distress, which could signal a complication such as pneumothorax. This is not an expected finding and requires immediate evaluation and intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Respiratory syncytial virus: Respiratory syncytial virus (RSV) is a common viral infection, especially in infants and young children, but it is not typically considered a reportable communicable disease.
B. Mumps: Mumps is a viral infection that is reportable in many regions. It can cause severe complications such as meningitis, encephalitis, and hearing loss, which is why it must be reported to public health authorities for tracking and control.
C. Group A streptococcus: While infections like streptococcal throat infections are common, only more severe complications like invasive Group A streptococcal disease (e.g., necrotizing fasciitis, toxic shock syndrome) are reportable, not all cases of throat infection.
D. Rubeola: Although rubeola (measles) is a reportable disease, mumps, is more frequently emphasized about in reportable vaccine-preventable illnesses alongside rubella and pertussis.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Rationale:
- 1320 mL in the first hour The provider has prescribed 15 mL/kg/hr of 0.9% sodium chloride for the first hour. The client weighs 88 kg, so the calculation is 88 kg × 15 mL/kg = 1320 mL to be administered in the first hour.
- 880 mL in the subsequent hour: After the first hour, the rate is reduced to 10 mL/kg/hr. Using the same weight of 88 kg, the calculation for the next hour is 88 kg × 10 mL/kg = 880 mL to be administered in the second hour.
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