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 A
Explanation
a) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.
b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.
c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.
d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.
Correct Answer is B
Explanation
a) Health assessment: Refers to the evaluation of the child's health status, including physical examinations and assessments.
b) Health promotion: Involves educating and encouraging practices that enhance overall health, like explaining the importance of immunizations.
c) Health maintenance: Focuses on ensuring continued health through preventive measures and routine care.
d) Health screening: Involves checking for diseases or conditions even when symptoms are not apparent, typically via tests or exams.
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