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 B
Explanation
a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.
b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.
c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.
d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.
Correct Answer is C
Explanation
a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.
b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.
c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.
d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.
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