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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

Answer and Explanation

The Correct Answer is D

Tension pneumothorax | Radiology Reference Article | Radiopaedia.org

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.

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Correct Answer is C

Explanation

a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.

b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.

c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.

d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.

Correct Answer is {"dropdown-group-1":"C"}

Explanation

Coarctation of the aorta
Explanation: This condition involves a narrowing of the aorta, typically occurring just after the left subclavian artery. It causes higher blood pressure in the arms and lower blood pressure in the legs due to the obstruction of blood flow.
Patent ductus arteriosus
Explanation: This is a condition where the ductus arteriosus, a blood vessel in the fetal heart, does not close after birth. It usually causes increased blood flow to the lungs rather than a discrepancy between upper and lower body blood pressures.
Tetralogy of Fallot
Explanation: This congenital heart defect consists of four heart abnormalities. While it affects blood flow and oxygen levels, it does not typically cause a significant difference in blood pressure between the arms and legs.
Transposition of the great arteries
Explanation: This condition involves the aorta and pulmonary artery being switched. It leads to severe oxygenation issues but does not usually result in a notable difference in blood pressure readings between the arms and legs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Correct Answer is C

Explanation

While doing a newborn assessment, the nurse finds the infants blood pressure in the arms is much higher than in the legs. The nurse suspects that the infant has dropdown

Correct Answer is {"dropdown-group-1":"C"}

Explanation

Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?

Which of the following is a major clinical manifestation of rheumatic fever (RF)?

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