A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?
Atelectasis
Rales
Rhonchi
Pneumothorax
The Correct Answer is A
A. Atelectasis. Atelectasis is the collapse of alveoli due to hypoventilation, which commonly occurs postoperatively, especially in the lung bases.
B. Rales. Rales (crackles) are abnormal lung sounds associated with fluid in the alveoli, commonly seen in conditions like pneumonia or pulmonary edema, not atelectasis.
C. Rhonchi. Rhonchi are low-pitched sounds caused by mucus in the airways, often seen in chronic bronchitis or COPD.
D. Pneumothorax. Pneumothorax presents with absent breath sounds on one side, not bilaterally in the lung bases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Palliative. Palliative surgery aims to relieve symptoms or reduce the size of a tumor without curing the underlying disease. The patient is having part of the tumor removed to relieve pain.
B. Emergency. Emergency surgery is performed in response to a life-threatening situation, such as trauma or acute illness, not for a metastatic tumor causing pain.
C. Diagnostic. Diagnostic surgery is performed to obtain tissue samples for evaluation (e.g., biopsy) to determine the nature of a disease, not to remove part of a tumor.
D. Curative. Curative surgery aims to remove the entire tumor to eliminate the disease, which is not the case here since only part of the tumor is being removed for symptom relief.
Correct Answer is D
Explanation
General anesthesia involves the administration of inhaled or intravenous agents that induce unconsciousness, analgesia, and muscle relaxation. Nerve blocks (spinal, caudal, epidural, and peripheral blocks) are forms of regional anesthesia, not general anesthesia.
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