A patient is admitted to the respiratory unit with flail chest.
Which answer best describes this diagnosis?
A condition in which there is a puncture or rupture of the lung.
A condition characterized by the presence of air or gas in the pleural cavity.
A condition characterized by multiple fractures of the ribs resulting in a segment of the chest wall becoming detached.
A condition characterized by the collapse of the lung.
The Correct Answer is C
Choice A rationale
A puncture or rupture of the lung is typically associated with a pneumothorax, not flail chest. Pneumothorax occurs when air leaks into the space between the lung and the chest wall.
Choice B rationale
The presence of air or gas in the pleural cavity is known as pneumothorax. Flail chest, however, is characterized by multiple rib fractures.
Choice C rationale
Flail chest occurs when multiple adjacent ribs are fractured in multiple places, creating a free-floating segment of the chest wall. This condition is serious and often results from blunt chest trauma.
Choice D rationale
The collapse of the lung is known as atelectasis or pneumothorax, not flail chest. Flail chest specifically refers to the detachment of a segment of the rib cage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.
Choice B rationale
Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.
Choice C rationale
Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.
Choice D rationale
Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.
Correct Answer is C
Explanation
Choice C rationale
Administering another nitroglycerin tablet is appropriate if the client's chest pain has not been fully relieved after the initial dose. Nitroglycerin helps to dilate blood vessels, improving blood flow to the heart and relieving angina. A second dose can be given if the pain persists, following the protocol for managing chest pain.
Choice A rationale
Obtaining an ECG is important for diagnosing and monitoring cardiac conditions; however, in this immediate context, further pain relief takes precedence. After ensuring pain relief, an ECG can be performed to assess the client's cardiac status.
Choice B rationale
Calling the Rapid Response Team is unnecessary if the client’s chest pain severity has already decreased. The priority should be to continue managing the chest pain with additional nitroglycerin if needed and monitoring the client's response.
Choice D rationale
Initiating a peripheral IV might be required for administering medications or fluids, but it is not the immediate action needed in this scenario. The priority is to provide additional pain relief with nitroglycerin.
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