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.

Obtain intravenous access

Thoracentesis

Pulmonary Function Tests (PFTS)

Prepare for insertion of a chest tube.

Obtain ABGS

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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Radiofrequency catheter ablation is incorrect. This is a long-term treatment for arrhythmias but not for immediate management of VT.

B. Defibrillation is correct. Defibrillation is used for pulseless ventricular tachycardia or ventricular fibrillation to restore a normal heart rhythm.

C. CPR is incorrect. CPR is performed if the patient is unresponsive and pulseless, not as the first-line intervention for VT.

D. Elective cardioversion is incorrect. Elective cardioversion is used for stable arrhythmias such as atrial fibrillation, not for immediate VT treatment.

A. Place a pillow under the client's head. B. Place the client into a supine position. C. Apply restraints. D. Insert a bite stick into the client's mouth. E. Loosen restrictive clothing.

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

Explanation

A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

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