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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Explanation
Assessment Findings Consistent with Mastitis or Endometritis
- Painful, tender breast: Mastitis
- Mastitis often presents with breast pain, tenderness, and redness.
- Foul-smelling lochia: Endometritis
- Endometritis can cause foul-smelling vaginal discharge or lochia.
- Temperature: Both Mastitis and Endometritis
- Both conditions can cause fever.
- Chills: Both Mastitis and Endometritis
- Chills can be a symptom of both mastitis and endometritis
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
|
Potential prescription |
Anticipated |
Contraindicated |
|
Bupropion 100 mg PO three times daily |
✓ |
|
|
Levomilnacipran 20 mg PO daily |
✓ |
|
|
Citalopram 20 mg PO daily |
✓ |
|
|
Fluoxetine 20 mg PO daily |
✓ |
Rationale
- Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
- Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
- Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
- Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.
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