The nurse is providing care for a patient who was assaulted with a baseball bat resulting in physical trauma to the abdomen. Which type of injury does the patient have?

Blunt injury

Thermal injury

Laceration injury

Penetrating injury

Answer and Explanation

The Correct Answer is A

A. A blunt injury occurs when the body is struck by a non-sharp object or force, causing tissue damage without breaking the skin. A baseball bat delivers direct force to the abdomen, potentially resulting in internal bleeding, organ contusions, or hematomas, which are characteristic of blunt trauma.

B. Thermal injuries are caused by heat, fire, or extreme cold, resulting in burns or frostbite, which is unrelated to trauma from a baseball bat.

C. Lacerations involve a tear or cut in the skin or underlying tissue, usually caused by a sharp object. In this scenario, the skin may remain intact despite internal injury, so a laceration is not the primary classification.

D. Penetrating injuries occur when a sharp object pierces the skin and enters body tissues, such as a knife or bullet. A baseball bat does not penetrate the skin, so this type does not apply.

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Free Nursing Study Resources

Correct Answer is ["A","C","E","F"]

Explanation

A. Critically ill clients on mechanical ventilation are at increased risk of stress-related mucosal damage, which can lead to gastric or duodenal ulcersdue to physiologic stress, reduced perfusion, and acid hypersecretion.

B. Mechanical ventilation does not directly suppress the immune system. Immunosuppression may occur due to underlying illness, medications, or critical illness, but it is not a direct complication of the ventilator itself.

C. Positive pressure ventilation can increase intrathoracic pressure, reducing venous return to the heart, which may lead to decreased cardiac output and hypotension, especially in patients with hypovolemia.

D. Mechanical ventilation does not directly cause pulmonary emboli. Risk factors for emboli include immobility, hypercoagulable states, or recent surgery, not the ventilator itself.

E. Mechanical ventilation can cause barotrauma, which is damage to the alveoli or lungs due to excessive pressure or volume, potentially leading to pneumothorax, subcutaneous emphysema, or pneumomediastinum.

F. Mechanical ventilation increases the risk of ventilator-associated pneumonia (VAP)due to impaired airway defense, colonization of the endotracheal tube, and aspiration of secretions.

A. Bandage around the posterior tube is loose. B. 2 cm of water is in the second chest tube chamber. C. The water in the water seal chamber rises and falls with inhalation/exhalation. D. Bubbling present in the water seal chamber when the client coughs.

Correct Answer is A

Explanation

A. A loose bandage around the chest tubecompromises the sterile sealof the dressing, which increases the risk of air entering the pleural spaceand infection. For a client following a pneumonectomy, maintaining a tight, sterile dressingis essential to prevent pneumothorax or subcutaneous emphysema. This finding requires immediate nursing intervention by reinforcing or replacing the dressingand monitoring the site for signs of air leakage or infection.

B. 2 cm of water in the suction control chamberis expected if suction is applied, depending on the prescribed water level. This is normal and indicates proper suction regulation.

C. Fluctuation (tidaling) in the water seal chamberwith inhalation and exhalation is expected. It indicates patent drainage and lung re-expansion. Lack of tidaling could indicate tube obstruction, kinking, or lung re-expansion.

D. Intermittent bubbling in the water seal chamber during coughingis normal. It occurs because increased intrathoracic pressuretemporarily forces air through the chest tube. Continuous bubbling at rest, however, would indicate an air leakand require intervention.

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The nurse is providing care for a patient who was assaulted with a baseball bat resulting in physical trauma to the abdomen. Which type of injury does the patient have?

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Naxlex Comprehensive Predictor Exams

Which of the following complications is associated with mechanical ventilation? Select all that apply

Correct Answer is ["A","C","E","F"]

Explanation

The nurse is assessing a client with a chest tube following a pneumonectomy. Which assessment finding requires nursing intervention?

Correct Answer is A

Explanation

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Exhibits In what order will the nurse implement these interventions?

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