The medical-surgical charge nurse is conducting a training workshop for a group of new nurses. Which information would the nurse include in the training as secondary data sources of a client's respiratory system? Select all that apply.
Tuberculin skin test
Low socioeconomic status.
Complete blood count (CBC)
Male gender
Aral blood gases (ABG)
Chest x-ray
Correct Answer : A,C,E,F
A. This is a diagnostic test used to determine if a client has been exposed to tuberculosis (TB). It is a secondary data source because it provides information about potential TB infection which can affect respiratory health.
B. While low socioeconomic status can impact health and access to healthcare, it is not a direct diagnostic tool or test for assessing the respiratory system. Instead, it is a social determinant that may influence health outcomes but does not provide direct data about the respiratory system itself.
C. A CBC is a laboratory test that provides information on various components of the blood, including red blood cells, white blood cells, and platelets. It can give insights into conditions that might affect the respiratory system, such as anemia or infections.
D. Male gender is a demographic characteristic rather than a diagnostic or data-gathering tool. While gender may influence the prevalence of certain respiratory conditions, it does not itself provide direct information or data about respiratory health.
E. ABG tests measure the levels of oxygen and carbon dioxide in the blood, as well as the blood’s pH balance. This test provides crucial information about a client’s respiratory function and is considered a secondary data source because it results from a specific diagnostic test rather than direct observation or physical assessment.
F. A chest x-ray is a diagnostic imaging test that provides detailed pictures of the lungs and chest cavity. It can reveal abnormalities such as infections, tumors, or fluid in the lungs. Since it is a test conducted outside of direct physical examination, it is classified as a secondary data source.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Although this client has an arm sling, which could potentially limit movement and cause some localized pressure, they are generally at a lower risk for widespread skin breakdown compared to older adults. Their younger age and lack of other risk factors make them less susceptible overall.
B. Older adults have thinner skin and decreased elasticity, making them more susceptible to pressure ulcers and skin breakdown. Frequent exposure to moisture from urine or feces can lead to skin irritation and breakdown, especially in areas where skin is already compromised.
C. While an elderly individual with an ankle fracture is at risk for skin breakdown, especially if immobilized and in a cast, this risk is somewhat less immediate compared to someone with incontinence.
D. This client is recovering from surgery, which could include temporary changes in mobility or activity levels. However, they are younger and do not have the additional complicating factors like incontinence or dementia. While there is some risk of skin issues post-surgery, it is not as high as the risk posed by incontinence and cognitive impairment in an elderly client.
Correct Answer is A
Explanation
A. Scoliosis is characterized by an abnormal lateral curvature of the spine. This can result in an uneven shoulder height and an asymmetrical rib cage when viewed from the front or back. The spine may curve to the side, creating a noticeable "S" or "C" shape.
B. Lordosis, also known as hyperlordosis, is an excessive inward curvature of the lower back (lumbar spine). This condition makes the buttocks appear more prominent and the abdomen to protrude. The pelvis tilts forward, creating a pronounced curve in the lower back.
C. Pigeon chest, or pectus carinatum, is a condition where the chest protrudes outward, giving it a "pigeon-like" appearance. The sternum sticks out, creating a noticeable bulge in the center of the chest.
D. Kyphosis is characterized by an excessive outward curvature of the upper spine (thoracic spine), resulting in a hunchbacked or rounded appearance of the upper back. The back may appear rounded or hunched when viewed from the side.
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