A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
Blockage of the ET tube by the client's tongue
Movement of the ET tube into the right main bronchus
Infection of the vocal cords
Passage of the ET tube into the esophagus
The Correct Answer is B
A. Blockage of the ET tube by the client's tongue would not typically result in asymmetric chest wall expansion.
B. If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
C. Infection of the vocal cords is not related to the absence of chest wall expansion.
D. Passage of the ET tube into the esophagus would lead to the absence of breath sounds in both lungs, not just the left side.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevation of the right arm is not a primary treatment for bursitis; it is more commonly used for edema control.
B. Intermittent ice and heat helps reduce inflammation and pain associated with acute bursitis.
C. Corticosteroid therapy is a treatment option but may not be the first-line self-care strategy for acute bursitis without further evaluation by a provider.
D. Range-of-motion exercises should be avoided during acute inflammation, as it may exacerbate the condition.
Correct Answer is A
Explanation
A. Comminuted is correct. A comminuted fracture occurs when the bone breaks into several pieces, which matches the description of the tibia being splintered into multiple fragments.
B. Impacted is incorrect. An impacted fracture occurs when the ends of the bone are driven into each other.
C. Transverse is incorrect. A transverse fracture occurs in a straight line across the bone shaft.
D. Oblique is incorrect. An oblique fracture occurs at an angle across the bone shaft.
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