A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?
Asthma exacerbation
Pulmonary embolism
Pneumothorax
Pulmonary edema
The Correct Answer is C
A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A tender thyroid nodule is more likely to be benign and associated with inflammation or thyroiditis, not cancer.
B. This is more concerning for a malignant nodule, as cancerous nodules are often firm and immobile.
C. A thyroid nodule typically does not change or disappear with facial movements, which is more characteristic of a different type of mass, such as a lymph node.
D. These characteristics are more consistent with a benign nodule, which is often movable and less likely to be cancerous.
Correct Answer is C
Explanation
A. Increasing capillary fragility contributes to bruising and bleeding but does not directly cause skin folding or sagging.
B. Increased sebaceous and sweat glands may affect skin texture but are not the primary cause of sagging skin.
C. Decreased collagen is the primary reason for skin sagging in aging, as collagen provides structure and elasticity to the skin. With age, collagen production decreases, leading to wrinkles and sagging.
D. Loss of elasticity is a consequence of reduced collagen and elastin fibers, contributing to skin changes, but decreased collagen is the main cause of the sagging.
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