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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Immunofixation electrophoresis is not primarily used to assess kidney function.

B. Immunofixation electrophoresis is not used to assess lung function.

C. Immunofixation electrophoresis is a laboratory technique used to identify and characterize abnormal proteins in the blood, which is essential in diagnosing conditions like Waldenstrom's macroglobulinemia.
D. Immunofixation electrophoresis is not used to quantify white blood cells (WBCs).

A. Hypogammaglobulinemia B. Graft-versus-host disease C. Sepsis D. Multiple myeloma

Correct Answer is D

Explanation

A. This condition is characterized by low levels of immunoglobulins, which may predispose to infections, but it typically does not present with a monoclonal spike on SPEP.
B. This condition occurs after a transplant procedure and is not typically associated with back pain or a monoclonal spike on SPEP.

C. While sepsis can cause back pain and recurrent infections, it is not typically associated with a monoclonal spike on SPEP.
D. Multiple myeloma often presents with bone pain (including back pain) and recurrent infections. The monoclonal spike on SPEP is characteristic of this condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Correct Answer is C

Explanation

Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Correct Answer is D

Explanation

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