A patient with a history of asthma enters the Emergency department with severe dyspnea, accessory muscle involvement, neck vein distention, and severe inspiratory/expiratory wheezing. The nurse should prepare to assist the physician with which procedure if the patient does not respond to initial interventions?
Emergency needle thoracentesis
Emergency intubation
Emergency pleurodesis
Emergency chest tube insertion
The Correct Answer is B
A. Needle thoracentesis is typically performed in cases of pneumothorax or pleural effusion, not asthma exacerbation. The symptoms described do not indicate a pleural space issue that would require thoracentesis.
B. Emergency intubation may be necessary if the asthma exacerbation is severe and unresponsive to initial interventions such as bronchodilators, corticosteroids, and oxygen therapy. The patient's symptoms of severe dyspnea, accessory muscle use, and wheezing suggest respiratory distress, and intubation may be required to secure the airway and assist with ventilation.
C. Pleurodesis is a procedure used to treat recurrent pleural effusions, not asthma exacerbations. It involves the obliteration of the pleural space, which is not relevant to the current situation.
D. Chest tube insertion is typically performed for pneumothorax or other issues involving the pleural space, not for asthma exacerbation. The described symptoms do not suggest the need for a chest tube.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Laxatives are used to relieve constipation by promoting bowel movements, not for treating diarrhea.
B. Antimotility agents work by slowing down the movement of the intestines, which can reduce diarrhea, but they do not specifically absorb excess fluid in the fecal matter.
C. Adsorbents, such as activated charcoal or kaolin-pectin, work by absorbing excess fluid in the fecal matter in the colon, which helps to reduce diarrhea without affecting transport processes across the intestinal membranes.
D. Bulk-forming agents, like psyllium, absorb water and increase the bulk of stool, which is used for constipation rather than diarrhea.
Correct Answer is C
Explanation
A. Anti-inflammatory drugs do not primarily work by increasing blood flow to the tissues. While some may have vasodilatory effects, their primary function is to reduce inflammation.
B. Anti-inflammatory drugs do not directly decrease scar formation. They reduce inflammation, which may indirectly help prevent excessive scarring in tissues affected by chronic inflammation, but this is not their primary action.
C. The main action of anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, is to block the chemical mediators of inflammation, such as prostaglandins. This reduces pain, swelling, and other symptoms of inflammation.
D. Anti-inflammatory drugs do not directly enhance the body's immune system. In fact, some, like corticosteroids, may suppress immune responses to reduce inflammation.
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