immediate follow-up.)
Decreased lung sounds
Heart rate 110/min and regular
Oxygen saturation of 95%
Subcutaneous emphysema
Correct Answer : A,B,D
A. This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B. A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C. While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D. This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rubbing hands and arms to dry is not a step in the hand hygiene process. After washing, the hands should be dried thoroughly with a clean towel or air dryer.
B. Adjusting the water temperature to feel hot is not necessary for effective hand hygiene. The water should be warm, but not hot, to avoid skin damage.
C. Holding the hands higher than the elbows is not a step in the hand hygiene process.
D. Applying 4 to 5 mL of liquid soap to the hands is the correct amount of soap to use for effective hand hygiene. The soap should be rubbed onto the hands and wrists for at least 20 seconds before rinsing thoroughly with water.
Correct Answer is B
Explanation
A. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often have a distorted body image and may fear gaining weight, but they do not typically avoid eating because they do not like the taste of food.
B. This statement is consistent with the behavior of a person with anorexia nervosa. People with this disorder often have specific foods that they fear or avoid because they associate them with gaining weight or losing control over their eating.
C. This statement may be true for some people with anorexia nervosa, but it is not a defining characteristic of the disorder. People with anorexia nervosa often restrict their food intake to a much lower level than 2,000 calories per day.
D. This statement does not align with the typical behavior of a person with anorexia nervosa. People with anorexia nervosa often obsessively track their calorie intake and may keep meticulous records of what they eat.
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