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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Disagreements about staffing issues should be addressed through appropriate channels, but they do not typically require an incident report.
B. The absence of advanced directives is a concern that needs to be addressed, but it does not constitute an incident that requires reporting.
C. A staff member not arriving for their shift is a staffing issue but does not require an incident report unless it directly affects client care.
D. Missing dentures are considered a loss of personal property, which requires documentation through an incident report to ensure accountability and to initiate a search or compensation process.
Correct Answer is A
Explanation
A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.
B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.
C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.
D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.
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