Exhibits
What is the most appropriate initial management for this patient?
Apply positive pressure ventilation and provide supportive care with pain management.
Perform needle decompression of the pleural space followed by chest tube insertion.
Administer intravenous antibiotics and arrange for an elective surgical repair.
Provide high-flow oxygen and intubate the patient for mechanical ventilation.
The Correct Answer is B
A. Apply positive pressure ventilation and provide supportive care with pain management: While supportive care is important, positive pressure ventilation may not be sufficient to address the underlying issue, which is likely a pneumothorax or hemothorax.
B. Perform needle decompression of the pleural space followed by chest tube insertion: This is the most appropriate initial management for a patient with paradoxical chest wall movement, which is a sign of flail chest and likely pneumothorax. Needle decompression can relieve pressure in the pleural space, and chest tube insertion can help drain any fluid or air that has accumulated.
C. Administer intravenous antibiotics and arrange for an elective surgical repair: While infection may be a concern, it is not the most immediate priority in this case. The patient's respiratory distress needs to be addressed first.
D. Provide high-flow oxygen and intubate the patient for mechanical ventilation: While oxygen therapy may be necessary, intubation should be considered as a last resort if other measures fail to improve oxygenation. In this case, needle decompression and chest tube insertion are more likely to be effective in improving respiratory function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reposition the client every 4 hr.: Repositioning should be done more frequently, typically every 2 hours, to prevent complications such as pressure ulcers.
B. Place the head of the client's bed at 40° when supine: Elevating the head of the bed to 30-45° helps reduce the risk of ventilator-associated pneumonia (VAP) by preventing aspiration.
C. Turn off the ventilator alarms before suctioning the client's airway: Ventilator alarms should never be turned off as they are critical for monitoring the client's status. Alarms can be temporarily silenced, but only for the duration of the procedure.
D. Provide mouth care every 10 to 12 hr with hydrogen peroxide: Mouth care should be provided more frequently, typically every 4 hours, to reduce the risk of infection. Hydrogen peroxide is not commonly used due to its potential to cause irritation and harm to oral tissues.
Correct Answer is D
Explanation
A. Photophobia: Antihistamines are not typically associated with photophobia. Common side effects include dry mouth and drowsiness, but not increased sensitivity to light.
B. Increased blood pressure: Antihistamines do not commonly cause increased blood pressure. They are more likely to lead to side effects like dry mouth, drowsiness, and blurred vision rather than affecting blood pressure significantly.
C. Diarrhea: Diarrhea is not a usual side effect of antihistamines. These medications are more likely to cause constipation rather than diarrhea.
D. Dry mouth: Dry mouth is a common adverse effect of many antihistamines. This occurs due to their anticholinergic effects, which decrease saliva production and lead to dry mouth.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.