A nurse is assessing a client following the insertion of a central venous catheter.

Which of the following findings indicates a pneumothorax?

Distended neck veins.

Itching over the incision.

Irregular heart rate.

Diminished breath sounds.

Answer and Explanation

The Correct Answer is D

A pneumothorax is a collapsed lung that occurs when air leaks into the space between the lung and the chest wall.
This can cause diminished breath sounds on the affected side. Distended neck veins are not a symptom of pneumothorax.
B) Itching over the incision is not a symptom of pneumothorax.
C) Irregular heart rate is not a symptom of pneumothorax.

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Correct Answer is ["A","D","E"]

Explanation

“Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.

Choice B is incorrect because the meningococcal vaccine is not typically recommended for healthy adults after age 60.

Choice C is incorrect because the human papillomavirus (HPV) vaccine is not typically recommended for healthy adults after age 60.

A. "I will weigh myself daily.". B. "l hate how I feel all the time.". C. "I'm too tired to brush my teeth.". D. "I need to start eating a low-sodium diet.".

Correct Answer is C

Explanation

“I’m too tired to brush my teeth.” This statement indicates that the client is experiencing fatigue, which is a common symptom of heart failure.
Fatigue can significantly impact a person’s ability to perform daily activities and can be an indication that the client needs a referral for cardiac rehabilitation 1.
Choice A is not the correct answer because weighing oneself daily is a recommended self-monitoring technique for clients with heart failure.
Choice B is not the correct answer because while feeling unhappy can be a symptom of heart failure, it does not necessarily indicate a need for cardiac rehabilitation.
Choice D is not the correct answer because eating a low-sodium diet is a recommended dietary change for clients with heart failure.

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A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is providing preventive teaching to an older adult client during a good visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.).

Correct Answer is ["A","D","E"]

Explanation

A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?

Correct Answer is C

Explanation

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A nurse is assessing a client following the insertion of a central venous catheter.

Which of the following findings indicates a pneumothorax?