A nurse is providing care for a client following a thoracentesis. If the client develops a pneumothorax, which of the following assessment findings should the nurse expect?
Pain on inhalation
Bradycardia
Friction rub
Stridor
The Correct Answer is A
A. Pain on inhalation is a common symptom of pneumothorax due to pleural irritation and collapse of the lung.
B. Tachycardia, not bradycardia, is more likely in a client with a pneumothorax due to hypoxia.
C. A friction rub is associated with pleuritis, not pneumothorax.
D. Stridor is a sign of upper airway obstruction, not pneumothorax.
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Related Questions
Correct Answer is D
Explanation
A. Steatorrhea (fatty stools) is not typically associated with pneumonia; it is more commonly linked to gastrointestinal disorders.
B. Tinnitus (ringing in the ears) is not a common symptom of pneumonia but may be related to ear infections or other conditions.
C. Dysphagia (difficulty swallowing) is not typically a hallmark symptom of pneumonia, though it can occur in severe cases if there is aspiration.
D. Fever is a common symptom of bacterial pneumonia due to the body’s response to infection.
Correct Answer is C
Explanation
A. Widened pulse pressure (not narrowed) is associated with increased ICP.
B. Bradycardia (not tachycardia) is commonly seen in increased ICP due to Cushing’s triad.
C. An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.
D. Hypertension, not hypotension, is a characteristic of increased ICP.
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