Nurse Sarah is triaging patients in the ER. Match each presenting symptom to the condition it is most commonly associated with.

Patient 1: Reports sharp, stabbing chest pain

Patient 2: Audible sucking sound from a chest wound

Patient 3: Tracheal deviation noted during the assessment

Patient 4: Crepitus palpable on the chest wall

Answer and Explanation

The Correct Answer is A, B ,C ,D

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Correct Answer is D

Explanation

A. Reduction in saliva production is not directly related to the immune system; it's more associated with oral health.
B. Thickening of the skin is a normal part of aging but is not directly related to the immune system.
C. Weakening of the periosteum refers to the outer layer of bone, and while it can occur with aging, it's not directly relevant to the immune system.
D. Reduced ciliary action in the respiratory tract is a common age-related change that can compromise the body's ability to clear pathogens and debris from the respiratory system, thus increasing susceptibility to respiratory infections.

A. Initiate mechanical ventilation B. Administer high-dose corticosteroids C. Administer neostigmine D. Provide supplemental oxygen

Correct Answer is A

Explanation

A. Emily is showing signs of myasthenic crisis, a life-threatening condition characterized by severe weakness of respiratory muscles. Initiating mechanical ventilation is the most immediate intervention to ensure adequate oxygenation and ventilation.
B. Administering high-dose corticosteroids may be part of the treatment for myasthenia gravis but would not address the immediate need for respiratory support.
C. Neostigmine is a medication used to treat myasthenia gravis but may not provide rapid relief in a crisis situation.
D. Providing supplemental oxygen may help temporarily but would not address the underlying respiratory muscle weakness and need for mechanical ventilation.

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Nurse Sarah is triaging patients in the ER. Match each presenting symptom to the condition it is most commonly associated with.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Sarah, a 75-year-old woman with a history of COPD, has recently been experiencing frequent respiratory infections. As the nurse teaches her about the impact of aging on the immune system, which change should be emphasized?

Correct Answer is D

Explanation

Emily, 25, shows signs of ptosis, dysphagia, and respiratory distress. The tensilon test is positive, and her ABG shows a PaO2 of 70 mmHg. What is the most immediate nursing intervention?

Correct Answer is A

Explanation

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

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