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 B

Explanation

A. Cessation of hormonal supplements: While hormonal supplements may be relevant in some heart failure cases, they are not typically the primary focus of discharge teaching for heart failure management. The main areas of concern are fluid management and diet.
B. Dietary and fluid restrictions: In heart failure, dietary restrictions, especially low-sodium diets, and fluid restrictions are crucial for preventing fluid overload and managing the symptoms of heart failure. Teaching clients to monitor their fluid intake and avoid excessive salt is essential for managing the condition.
C. Cessation of intravenous (IV) drug use: While avoiding IV drug use is generally beneficial for health, it is not specifically related to heart failure management. The primary focus should be on managing the fluid and dietary intake to prevent exacerbations of heart failure.
D. Encouraging increased mobility: While moderate exercise may be encouraged for heart failure patients, it should be done cautiously. Encouraging increased mobility without considering the client’s current condition could lead to overexertion and worsen symptoms. The priority is dietary and fluid management.

A. Tachycardia B. Chest pain C. Agonal breathing D. Brainstem ischemia

Correct Answer is D

Explanation

A. Tachycardia: Tachycardia is typically a compensatory response to low blood pressure, but it is not directly prevented by Cushing’s triad. Cushing's triad is a group of symptoms that suggests increased intracranial pressure (ICP) and is more closely related to brainstem ischemia.
B. Chest pain: Chest pain is usually associated with cardiac issues or other systemic problems. Cushing's triad, which includes bradycardia, irregular respirations, and hypertension, does not specifically address chest pain.
C. Agonal breathing: Agonal breathing, characterized by irregular, labored breathing, is a result of brainstem dysfunction but is not the direct cause of Cushing's triad. Cushing’s triad is more indicative of impending brainstem ischemia due to increased ICP.
D. Brainstem ischemia: Cushing's triad is a physiological response to increased intracranial pressure, often caused by brainstem ischemia or compression. The symptoms of Cushing's triad (hypertension, bradycardia, and irregular respirations) are indicative of the body attempting to protect vital brainstem function from ischemic damage.

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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

A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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