The nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?
Pleural effusion on the unaffected side
Shallow breathing due to pain
Guarding behavior when taking deep breaths
Localized chest pain on inspiration
The Correct Answer is A
A. Pleural effusion on the unaffected side is not directly related to a fractured rib. While rib fractures can lead to complications such as pneumothorax or hemothorax, pleural effusion on the opposite side is likely caused by another condition, such as infection or malignancy, and should be investigated separately.
B. Shallow breathing due to pain is a common response to a fractured rib, as the client may avoid deep breaths to minimize discomfort.
C. Guarding behavior when taking deep breaths is directly related to the pain caused by the fractured rib and is an expected observation.
D. Localized chest pain on inspiration is a hallmark symptom of a fractured rib, as the injury causes discomfort with chest wall movement during breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Convert units: Since the available medication is in mg, convert the prescribed dose from mcg to mg. There are 1000 mcg in 1 mg, so:
125 mcg / 1000 mcg/mg = 0.125 mg
· Set up the calculation: Divide the desired dose by the available dose per tablet:
0.125 mg / 0.25 mg/tablet = X tablets
· Solve for X:
X = 0.5 tablets
Correct Answer is B
Explanation
A. Atropine is used to treat bradycardia and is not indicated for pulmonary embolism. It would not be the first choice in managing this condition.
B. Heparin is an anticoagulant that helps prevent further clot formation in the case of a pulmonary embolism. It is typically administered to stabilize the patient and reduce the risk of further embolic events.
C. Dexamethasone is a corticosteroid used to treat inflammation and is not typically used to treat pulmonary embolism. It is not the first-line treatment for this condition.
D. Furosemide is a diuretic used to manage fluid retention and is not directly indicated for pulmonary embolism. It may be used in cases of heart failure or pulmonary edema, but it is not the primary treatment for a pulmonary embolism.
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