You are caring for a 14-year-old patient in the ER following a motor vehicle accident. The patient is exhibiting moderate respiratory distress, with decreasing LOC and becoming hypotensive. On chest X:ray, there is air in the pleural space with tracheal deviation. You suspect which condition?
Pulmonary constriction
Smoke inhalation injury
Pneumonia
Tension pneumothorax
The Correct Answer is D
a) Pulmonary constriction: Typically, not associated with tracheal deviation or air in the pleural space.
b) Smoke inhalation injury: Unlikely to cause tracheal deviation or air in the pleural space.
c) Pneumonia: Does not typically cause tracheal deviation or immediate hypotension.
d) Tension pneumothorax: Presents with air in the pleural space, tracheal deviation, respiratory distress, decreasing LOC, and can lead to hypotension due to compromised circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Does not describe the specific combination seen in tetralogy of Fallot.
b) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy: Incorrect combination of defects for tetralogy of Fallot.
c) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Accurately describes the four structural defects characterizing tetralogy of Fallot.
d) Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy: Left ventricular hypertrophy is not typically part of tetralogy of Fallot.
Correct Answer is B
Explanation
a) Constipation: Not typically a primary symptom of cystic fibrosis.
b) Meconium ileus: Meconium ileus is a bowel obstruction that occurs shortly after birth due to abnormally thick meconium. It is a classic early sign of cystic fibrosis in newborns. Other symptoms such as failure to thrive, persistent cough, salty-tasting skin, and recurrent respiratory infections may also manifest later.
c) Rectal prolapse: Can be related to cystic fibrosis but is not as specific as other symptoms.
d) Steatorrhea stools: Frequent fatty stools are symptoms of the disease but not specific to cystic fibrosis.
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