A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?
Coughing
Motor vehicle accidents
Falls
Assault
The Correct Answer is B
A. Coughing: While coughing can be a symptom of respiratory distress or lung injury, it is not typically a direct cause of flail chest. Flail chest is characterized by multiple rib fractures leading to a segment of the chest wall moving independently, which can result from blunt trauma like a motor vehicle accident.
B. Motor vehicle accidents: Flail chest commonly results from significant trauma, such as that from a motor vehicle accident. The blunt force of the impact during an accident can cause multiple rib fractures, which can result in the characteristic paradoxical chest movement seen in flail chest.
C. Falls: Although falls can result in rib fractures, they are less likely to cause the severe trauma and multiple rib fractures required to result in flail chest. While serious falls could contribute to a flail chest in certain scenarios, motor vehicle accidents are more common for this type of injury.
D. Assault: While an assault can cause chest injuries, including rib fractures, it is less commonly associated with flail chest compared to the more significant force from motor vehicle accidents. The mechanism of injury in assaults may not involve the level of blunt trauma that leads to multiple rib fractures and flail chest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Malignant brain tumors often originate from another part of the body: While malignant brain tumors can spread from other body parts (metastatic tumors), primary brain tumors, such as gliomas or meningiomas, originate in the brain itself. Malignant brain tumors that metastasize to the brain are relatively less common.
B. Primary CNS tumors commonly spread to other parts of the body: Primary central nervous system (CNS) tumors generally do not spread to other parts of the body. Most CNS tumors are localized, and their spread is usually restricted to the surrounding neural tissue, not to distant organs.
C. Most CNS tumors are spinal tumors: Most central nervous system (CNS) tumors are actually brain tumors, not spinal tumors. Brain tumors are more common in adults, while spinal tumors are rarer in comparison.
D. Ependymomas are primarily brain tumors: Ependymomas are a type of tumor that originates from the ependymal cells in the central nervous system. While they can occur in both the brain and spinal cord, they are more frequently found in the brain, especially in the ventricles. Thus, ependymomas are primarily considered brain tumors.
Correct Answer is D
Explanation
A. Weight gain of 5 lb: While weight changes can reflect improved nutritional intake or fluid balance, a 5-pound weight gain is not a reliable indicator of improved beta-cell function. Weight gain may also increase insulin resistance, which could worsen glycemic control.
B. Fasting blood glucose of 140 mg/dL: A fasting glucose of 140 mg/dL is above the diagnostic threshold for diabetes and suggests poor glycemic control. This level does not support the idea of improved beta-cell function or recovery.
C. Client reports smoking cessation: Smoking cessation is a positive lifestyle change that benefits cardiovascular and overall health, but it is not a direct indicator of beta-cell recovery or improved glucose metabolism.
D. HbA1c = 5.6%: An HbA1c of 5.6% is within the normal, non-diabetic range, suggesting that the client’s average blood glucose levels have been well controlled over the past 2 to 3 months. This implies that the pancreas is producing insulin effectively, which may reflect restored beta-cell function.
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