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A nurse is caring for a client who has a pneumothorax.

Exhibits

A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?

For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.

A.

Obtain intravenous access

B.

Thoracentesis

C.

Pulmonary Function Tests (PFTS)

D.

Prepare for insertion of a chest tube.

E.

Obtain ABGS

F.

Computed tomography (CT) of the chest

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

  • Obtain intravenous access: Anticipated: Essential for administering medications, fluids, and potential emergency treatments.
  • Thoracentesis: Non-essential: Typically used for pleural effusions, not primary treatment for pneumothorax; chest tube insertion is the main treatment.
  • Pulmonary Function Tests (PFTs): Non-essential: Useful for diagnosing chronic respiratory conditions but not a primary intervention for pneumothorax.
  • Prepare for insertion of a chest tube: Anticipated: A chest tube is often necessary to re-expand the lung and treat a significant pneumothorax.
  • Obtain ABGs: Anticipated: Important for assessing the client’s oxygenation and acid-base balance due to respiratory distress.
  • Computed tomography (CT) of the chest: Anticipated: CT can be used to diagnose the extent of the pneumothorax and guide treatment.


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Related Questions

Correct Answer is C

Explanation

A. Hyperglycemia typically presents with symptoms such as polyuria, polydipsia, and blurred vision, rather than these symptoms.

B. Neuropathy involves symptoms like numbness and tingling, not headache, restlessness, fatigue, and hunger.

C. Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.

D. Hypokalemia presents with symptoms like muscle weakness and cramping, not the symptoms described.

Correct Answer is ["A","B","D"]

Explanation

Decreased Lung Sounds: Could indicate complications such as pneumothorax.

Heart Rate 110/min: Tachycardia may suggest a reaction to recent procedures or other underlying issues.

Subcutaneous Emphysema: Indicates possible air leakage that needs to be addressed.

Does Not Require Immediate Follow-Up:

Oxygen Saturation of 95%: Indicates acceptable oxygenation status.

Trachea Midline: Shows that there is no mediastinal shift.

Puncture Site Dry: Indicates that there is no ongoing issue at the insertion site

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