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

Only the flail segment pulling inward during expiration

The entire chest pulling inward during expiration

The entire chest pushing outward during inspiration

Only the flail segment pulling inward during inspiration

Answer and Explanation

The Correct Answer is D

A. Only the flail segment pulling inward during expiration: During expiration, the pressure inside the chest decreases, and typically the chest wall recoils outward. A flail segment moves abnormally in the opposite direction during inspiration, not expiration.
B. The entire chest pulling inward during expiration: Inward movement of the entire chest during expiration is not characteristic of flail chest. This could suggest severe respiratory distress or chest wall weakness, but not the hallmark sign of flail chest.
C. The entire chest pushing outward during inspiration: This is a normal movement during inspiration and not specific to flail chest. In flail chest, the abnormality is seen in the flail segment, not the entire chest.
D. Only the flail segment pulling inward during inspiration: This is the classic finding in flail chest. Due to the broken ribs losing continuity with the rest of the rib cage, the flail segment moves paradoxically—inward during inspiration and outward during expiration—opposite to the normal chest wall motion.

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

Explanation

A. Urine output less than 50 mL in 24 hr: Extremely low urine output, or oliguria, may indicate worsening SIADH or acute kidney injury. Conivaptan is a vasopressin receptor antagonist used to promote free water excretion, so minimal urine output despite treatment is alarming and requires immediate provider notification.
B. Dry mucous membranes: This can occur with fluid loss and is a sign of mild dehydration, but it is not the most urgent concern. It should be monitored, but it does not necessarily signal treatment failure or an acute complication.
C. Urine specific gravity 1.020: This value is within normal range and indicates that the kidneys are concentrating urine appropriately. It does not indicate a dangerous or emergent condition.
D. Serum sodium 130 mEq/L: While this level is low, it is a common finding in SIADH. Unless sodium levels drop rapidly or fall below 125 mEq/L, it is not typically considered an immediate emergency.

A. "Metastasis means a group of abnormal kidney cells is localized to a single location." B. "Metastasis occurs when cancerous growths are located in the kidneys and also another part of the body." C. "Metastasis occurs when cancer cells grow until they run out of space and stop growing." D. "Metastasis is when a group of kidney cells have changed to more closely resemble intestinal cells."

Correct Answer is B

Explanation

A. "Metastasis means a group of abnormal kidney cells is localized to a single location.": This describes a localized or primary tumor, not metastasis. Metastasis refers specifically to the spread of cancer cells beyond the original site.
B. "Metastasis occurs when cancerous growths are located in the kidneys and also another part of the body.": Metastasis is the process by which cancer cells break away from the original tumor and spread through the blood or lymphatic system to distant organs. It indicates the presence of secondary tumors outside the kidney.
C. "Metastasis occurs when cancer cells grow until they run out of space and stop growing.": Cancer cells do not stop growing when space runs out; they continue to grow uncontrollably. This statement does not accurately reflect the meaning or mechanism of metastasis.
D. "Metastasis is when a group of kidney cells have changed to more closely resemble intestinal cells.": This describes metaplasia, not metastasis. Metaplasia is a change in cell type due to chronic irritation, not the spread of cancer.

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 has flail chest. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is being treated with conivaptan. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

A nurse is caring for a client who has kidney cancer and has been told it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?

Correct Answer is B

Explanation

A nurse is caring for a client admitted with pneumonia caused by Streptococcus pneumoniae. Which of the following types of pneumonia is Streptococcus pneumoniae?

Which of the following is true regarding the physiology of an open pneumothorax?

The nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is critically ill. Which of the following lab findings requires immediate intervention?

A nurse is teaching a client who has peripheral arterial disease. Which of the following statements should the nurse include in the teaching to explain peripheral arterial disease?

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGS), which of the following conditions should the nurse anticipate the client to be experiencing?

A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?

A nurse is caring for an older adult client in the emergency department who sustained a head injury due to a fall. Which of the following are common reasons for head injuries in older adults? (Select All that Apply.)

Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?