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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale

Clamping the chest tube can cause increased pressure in the pleural space and is not appropriate without specific indications.

Choice B rationale

Increasing the wall suction may not relieve the burning sensation and could potentially cause harm.

Choice C rationale

Repositioning the client can help alleviate the burning sensation by adjusting the position of the chest tube and the lung.

Choice D rationale

Stripping the chest tube is not recommended as it can increase intrathoracic pressure and cause damage.

A. To provide essential nutrients while allowing the bowel to rest and heal. B. To reduce inflammation and control symptoms of IBD. C. To stimulate the bowel and promote regular bowel movements. D. To prevent malnutrition and promote weight gain.

Correct Answer is A

Explanation

Choice A rationale

Total parenteral nutrition (TPN) provides essential nutrients intravenously, allowing the bowel to rest and heal, which is important in the management of inflammatory bowel disease (IBD).

Choice B rationale

While reducing inflammation and controlling symptoms are important goals in IBD management, TPN is primarily used to provide nutrition and allow the bowel to rest.

Choice C rationale

Stimulating the bowel is not the purpose of TPN. TPN is used to give the digestive tract a break while ensuring the patient receives necessary nutrients.

Choice D rationale

Preventing malnutrition and promoting weight gain are secondary benefits of TPN, but the primary rationale is to provide nutrients while allowing the bowel to rest and heal.

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A patient is admitted to the respiratory unit with flail chest.Which answer best describes this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax.The client complains of chest burning.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

Correct Answer is A

Explanation

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A patient is admitted to the respiratory unit with flail chest.
Which answer best describes this diagnosis?