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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "Yes, antiviral treatment will ensure that you are less contagious and do not spread influenza to others": While antiviral treatment can reduce the spread of influenza, it is not the primary reason for early initiation. The key reason for starting antiviral therapy early is to reduce the severity and duration of symptoms.
B. "No, you should wait for lab confirmation because taking antivirals for a nonviral infection can increase side effects": This is incorrect because antivirals for influenza are specific to the virus and are not used in non-viral infections. Delaying treatment could worsen symptoms.
C. "Yes, antiviral treatments are most effective when they are started within 48 hours of symptom onset": This is the most accurate statement. Antiviral drugs like oseltamivir (Tamiflu) are most effective when taken early, within the first 48 hours of symptom onset, to reduce symptom severity and duration.
D. "No, you should wait for lab confirmation before beginning antiviral treatment, to prevent resistant viruses": Early treatment is essential, and delaying therapy can lead to worsened symptoms or complications. Resistance is a concern, but it is not an immediate issue with influenza antivirals.

A. Treatment is not needed if the client is hemodynamically stable. B. Treatment is not needed if the client is asymptomatic. C. Treatment is needed for all clients who have a pulmonary embolism. D. Treatment is not needed if the pulmonary embolism is intermediate.

Correct Answer is C

Explanation

A. Treatment is not needed if the client is hemodynamically stable. Even if a client is hemodynamically stable, a pulmonary embolism still poses a serious risk of progression or recurrence and requires anticoagulation or other appropriate interventions to prevent complications or death.
B. Treatment is not needed if the client is asymptomatic. An asymptomatic pulmonary embolism is still clinically significant. Without treatment, clots can enlarge or lead to future embolic events. Thus, treatment is still warranted regardless of symptom presence.
C. Treatment is needed for all clients who have a pulmonary embolism. All clients with a diagnosed pulmonary embolism should receive prompt treatment, such as anticoagulants or thrombolytics depending on severity, to prevent morbidity and mortality from clot progression or recurrence.
D. Treatment is not needed if the pulmonary embolism is intermediate. Intermediate-risk pulmonary embolisms require medical management and close monitoring. Treatment decisions may vary, but anticoagulation is still generally indicated to avoid complications like right ventricular failure.

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A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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