A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

"Atelectasis affects only those with chronic conditions such as emphysema."

"Hyperventilation will open up my alveoli, preventing atelectasis."

"It is important to do breathing exercises every hour to prevent atelectasis."

"If I develop atelectasis, I will need a chest tube to drain excess fluid."

Answer and Explanation

The Correct Answer is C

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

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Correct Answer is D

Explanation

A. Chest physiotherapy is used to mobilize secretions and improve lung function, not specifically for increasing stroke volume or preload.
B. Diuretics would decrease preload by removing excess fluid, which is counterproductive in a patient with inadequate stroke volume related to decreased preload.
C. Vasodilators can further decrease preload and are not appropriate in this scenario where preload needs to be increased.
D. Intravenous (IV) fluids are administered to increase preload and improve stroke volume by enhancing the circulating blood volume.

A. Cardiac B. Neurological C. Gastrointestinal D. Respiratory

Correct Answer is A

Explanation

A. Hyperkalemia can lead to dangerous cardiac arrhythmias and other heart-related complications due to its effect on the electrical conduction system of the heart, making cardiac assessment the priority.
B. While neurological assessment is important in various conditions, it is secondary to assessing cardiac status in hyperkalemia.
C. Gastrointestinal symptoms can occur with hyperkalemia, but they do not pose an immediate life-threatening risk like cardiac issues do.
D. Respiratory assessment is essential in many contexts, but the immediate threat of hyperkalemia lies in its impact on heart function, making cardiac assessment the most critical.

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A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

Correct Answer is D

Explanation

The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?

Correct Answer is A

Explanation

Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

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