John, a 35-year-old male involved in a motor vehicle accident, presents with a contusion across his chest from the seatbelt. Which two combined assessments should the nurse prioritize to detect potential complications?
Assess for sternal tenderness and check for skin abrasions.
Assess for sternal tenderness and measure oxygen saturation levels.
Measure blood pressure and observe for signs of localized infection
Measure oxygen saturation levels and auscultate lung sounds
The Correct Answer is D
A. While assessing sternal tenderness is relevant, skin abrasions may not directly indicate complications from the chest contusion.
B. Sternal tenderness can indicate underlying injuries but is not the priority compared to auscultation of the lung zones, and measuring oxygen saturation levels is crucial for assessing respiratory function and detecting potential complications such as respiratory distress or hypoxemia.
C. Blood pressure measurement and observation for signs of localized infection are important assessments but may not be directly related to complications from a chest contusion.
D. This is because a contusion across the chest from the seatbelt can cause rib fractures, pneumothorax, hemothorax, or pulmonary contusion, which can impair gas exchange and oxygenation. Measuring oxygen saturation levels and auscultating lung sounds can help detect these complications and guide appropriate interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.
B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.
Correct Answer is D
Explanation
A. Increasing sun exposure would actually increase the risk of sun damage and skin cancer rather than minimizing it.
B. While water-resistant sunscreens are important for protection during swimming, they are not the only measure needed to reduce sun damage, especially during extended sun exposure periods.
C. A sunscreen with SPF of at least 10 may not provide sufficient protection, especially for someone spending extended periods of time in direct sunlight. Higher SPF is generally recommended.
D. Avoiding direct sun exposure between 10 AM and 2 PM is crucial because during these hours, the sun's rays are the strongest, increasing the risk of sunburn and skin
damage. Opting for shade or protective clothing during these hours can significantly reduce the risk of sun damage.
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.