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A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

Pedal edema

Dysphagia

Distended neck veins

Dyspnea

Answer and Explanation

The Correct Answer is D

A. Pedal edema is related to fluid retention or circulatory issues, not atelectasis.

B. Dysphagia, or difficulty swallowing, is not typically associated with atelectasis.

C. Distended neck veins are a sign of increased central venous pressure, not atelectasis.

D. Dyspnea, or difficulty breathing, is a common sign of atelectasis, which is the collapse of part or all of a lung, leading to impaired gas exchange.

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Correct Answer is D

Explanation

A. Activation of the inflammatory cascade in SIRS typically leads to decreased perfusion and tissue damage due to widespread inflammation and capillary leakage.

B. SIRS can affect multiple organs, but it is particularly known for impacting the lungs and kidneys rather than the heart.

C. While SIRS can involve coagulation issues, these are not specifically due to spleen dysfunction but rather to the widespread inflammatory response.

D. SIRS is driven by a deregulated cytokine storm, which leads to an excessive and uncontrolled inflammatory response, potentially resulting in multiple organ failure.

A. Obtain the client's consent. B. Explain the risks and benefits of the procedure. C. Describe the consequences of forgoing treatment. D. Witness the client's signature.

Correct Answer is D

Explanation

A. Obtaining informed consent is the responsibility of the physician or surgeon, not the nurse.

B. Explaining the risks and benefits is the role of the physician or surgeon, who provides detailed information about the procedure.

C. Describing the consequences of forgoing treatment is part of the informed consent process but is the responsibility of the physician.

D. The nurse’s role in informed consent includes witnessing the client's signature to verify that consent was given voluntarily and with an understanding of the procedure.

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A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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