Exhibits

Which of the following is the most appropriate initial management for this patient?

Perform needle decompression of the pleural space followed by chest tube insertion.

Prescribe bronchodilators and schedule a pulmonary function test.

Administer oral antibiotics and arrange follow-up in a week.

Initiate high-flow oxygen therapy and monitor the patient.

Answer and Explanation

The Correct Answer is C

A. Nasal saline irrigation alone: While nasal saline irrigation can help to clear out mucus and congestion, it is often not sufficient to treat bacterial sinusitis.

B. Oral decongestants alone: Decongestants may provide temporary relief of symptoms but are not effective against bacterial infections.

C. Oral antibiotics: Antibiotics are the most appropriate treatment for acute bacterial sinusitis, as they can target the underlying infection.

D. Intranasal corticosteroids alone: Corticosteroids can be helpful for managing allergic rhinitis but are not effective against bacterial infections.

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Correct Answer is D

Explanation

A. "Water moves from areas where the concentration of sodium is higher to areas where the concentration is lower.": This statement incorrectly describes the direction of water movement. Water typically moves towards areas of higher solute concentration (higher sodium levels) through osmosis.

B. "Sodium moves from areas where the concentration of solute is lower to areas where the concentration is higher.": Sodium does not move this way in dehydration; the main issue is the movement of water, not sodium, in response to osmotic gradients.

C. "Water and sodium particles move together to areas where sodium particles are higher.": Water and sodium do not move together. Water follows solute (sodium) through osmotic processes, but sodium does not move in this manner during dehydration.

D. "Water moves from areas where the concentration of sodium is lower to the areas where the concentration of sodium is higher.": This statement correctly explains the principle of osmosis. In dehydration, water is lost from the body, leading to higher sodium concentration in the blood. This higher concentration draws water from cells to balance the osmotic pressure, resulting in elevated sodium levels.

A. "Diffusion is the movement of molecules from an area of higher concentration to an area of lower concentration." B. "Diffusion is the movement of particles between areas of equal concentrations." C. "Diffusion is the movement of water from an area of higher concentration of water to an area of lower concentration of water." D. "Diffusion is the movement of particles from an area of lower concentration of particles to an area of higher concentration of particles."

Correct Answer is A

Explanation

A. "Diffusion is the movement of molecules from an area of higher concentration to an area of lower concentration.": This statement accurately describes diffusion. Molecules move down their concentration gradient from areas of higher concentration to areas of lower concentration until equilibrium is reached.

B. "Diffusion is the movement of particles between areas of equal concentrations.": Diffusion does not occur between areas of equal concentration as there is no concentration gradient to drive the movement.

C. "Diffusion is the movement of water from an area of higher concentration of water to an area of lower concentration of water.": This describes osmosis, not diffusion. Osmosis specifically refers to the movement of water across a semipermeable membrane.

D. "Diffusion is the movement of particles from an area of lower concentration of particles to an area of higher concentration of particles.": This is incorrect as diffusion occurs from higher to lower concentration, not the reverse.

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Exhibits Which of the following is the most appropriate initial management for this patient?

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Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching with a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

Correct Answer is D

Explanation

A charge nurse is reinforcing teaching to a group of nurses about diffusion. Which of the following statements should the charge nurse include in their teaching about diffusion?

Correct Answer is A

Explanation

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?

Exhibits What is the most appropriate initial management for this patient?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

A nurse is providing care to a client who reports facial pain, including dental pain in the upper teeth. Which of the following additional symptoms would lead the nurse to suspect sinusitis as the source of the pain?

Which of the following is the most common risk factor for emphysema?

Which of the following are the most common manifestations of COPD? (Select all that apply.)

A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

Exhibits

Which of the following is the most appropriate initial management for this patient?