A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?

Flail chest

Pulmonary contusion

Fractured rib

Tension pneumothorax

Answer and Explanation

The Correct Answer is D

A. Flail chest: Flail chest involves paradoxical chest wall movement and is not associated with tracheal deviation.

B. Pulmonary contusion: This involves lung tissue injury with potential respiratory distress but does not cause tracheal deviation.

C. Fractured rib: While it can cause pain and respiratory distress, it does not lead to tracheal deviation or absent breath sounds.

D. Tension pneumothorax: Tension pneumothorax is characterized by respiratory distress, absent breath sounds on the affected side, and tracheal deviation away from the affected side. It occurs due to the accumulation of air in the pleural space, causing increased intrathoracic pressure and shifting of mediastinal structures.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

A. Administer supplemental oxygen to the client: Oxygen saturation is low (86%), and supplemental oxygen is necessary to address hypoxia.

B. Place a tongue depressor in the client’s mouth: Inserting objects into the mouth can cause injury and is contraindicated during a seizure.

C. Turn the client to the side: Turning the client reduces the risk of aspiration by allowing secretions or emesis to drain.

D. Restrain the client: Restraining the client may cause harm and is not recommended during seizure activity.

E. Time the duration of the seizure: Documenting seizure duration helps determine its severity and guides treatment decisions.

A. Provide legal testimony on behalf of the client. B. Require the client to call the police. C. Protect the client from further harm. D. Request the police to gather evidence of the incident.

Correct Answer is C

Explanation

A. Provide legal testimony on behalf of the client: While a SANE may document findings for legal purposes, they do not act as the client's legal representative.

B. Require the client to call the police: Reporting the incident is the client’s choice; the nurse should not coerce them.

C. Protect the client from further harm: The priority is to ensure the client's safety and well-being after a traumatic event.

D. Request the police to gather evidence: The SANE is responsible for collecting forensic evidence, not the police.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a seizure disorder. Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

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

Explanation

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client with severe burns? Select all that apply.

Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

A nurse is caring for a client who had a traumatic brain injury (TBI). Which of the following manifestations indicate a mild TBI?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply)

A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA? (Select All that Apply.)

A nurse is assessing a client who has a pleural effusion. Which of the following findings should the nurse expect?