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 C
Explanation
A. This position is useful for inspecting the overall shape and size of the breasts, but it may not be the best for detecting retractions.
B. This position can help identify changes in the breast tissue, but it may not be as effective as raising one arm overhead for detecting retractions.
C. Raising one arm over the head tenses the muscles in the breast and chest, which can make any retractions more visible. Retraction is often characterized by dimpling or pulling of the skin, which may be more noticeable when the breast tissue is taut.
D. This position can be helpful for examining the breasts for other abnormalities, but it may not be the best for detecting retractions.
Correct Answer is B
Explanation
A. Often referred to as "pigeon chest," pectus carinatum is a condition where the chest protrudes outward. This deformity makes the chest appear to bulge forward, giving it a distinctive "pigeon-like" appearance.
B. Barrel chest is characterized by an increased anteroposterior (AP) diameter of the chest, giving it a rounded, barrel-like appearance. This can occur due to conditions such as chronic obstructive pulmonary disease (COPD) or emphysema.
C. Scoliosis is a lateral curvature of the spine, which can cause a noticeable asymmetry in the rib cage and back. It often presents as a side-to-side curve in the spine, which can lead to an uneven shoulder height and a visibly curved back when viewed from the side.
D. Known as "funnel chest," pectus excavatum is a condition where the breastbone (sternum) is sunken into the chest. This causes a noticeable depression in the middle of the chest and may appear as a concave or hollowed area.
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