What is a collapsed lung caused by escape of air into the pleural cavity called?
Pneumothorax
Pulmonary edema
Bronchiectasis
Emphysema
The Correct Answer is A
A. Pneumothorax – A pneumothorax is a collapsed lung that occurs when air escapes into the pleural space, disrupting the pressure balance and causing lung collapse.
B. Pulmonary edema – Pulmonary edema is the accumulation of fluid in the lungs, typically due to heart failure, not air in the pleural space.
C. Bronchiectasis – This is a chronic condition involving permanent dilation of the bronchi due to repeated infections and inflammation, not collapse from air leakage.
D. Emphysema – Emphysema is a form of chronic obstructive pulmonary disease (COPD) that involves the destruction of alveoli, leading to air trapping—not lung collapse from air in the pleural cavity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I've been taking an antacid to help with indigestion." – This statement is expected. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastrointestinal tract. Taking an antacid may help reduce GI discomfort and is a common recommendation.
B. "I signed up for a swimming class." – This is an appropriate activity for a client with rheumatoid arthritis. Swimming is a low-impact exercise that helps maintain joint flexibility and strength.
C. "The naproxen is easier to take when I crush it and put it in applesauce." – This statement requires follow-up. Naproxen is often formulated as an enteric-coated or extended-release tablet to protect the stomach lining or to ensure proper absorption. Crushing it can destroy this protective mechanism, increasing the risk of GI irritation or altering drug effectiveness.
D. "I've lost 2 pounds since my appointment 2 weeks ago." – Mild weight fluctuations are not uncommon and may not be directly related to the medication. Unless weight loss is severe or unexplained, it does not require immediate concern in this context.
Correct Answer is D
Explanation
A. Elevate the head of the bed. – While elevating the head of the bed can aid breathing, it is not the priority action in this situation.
B. Call the client's provider. – Notifying the provider is important, but the first action is to stop the offending agent causing the reaction.
C. Auscultate the client's breath sounds. – Assessing breath sounds is appropriate but should be done after stopping the infusion, as the priority is to remove the source of the reaction.
D. Stop the infusion. – The client is showing signs of a possible anaphylactic reaction (itching, dizziness, shortness of breath). The priority action is to stop the infusion immediately to prevent further exposure to the allergen and worsening of symptoms.
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