A nurse is caring for a 75-year-old male client who is experiencing difficulty breathing and shortness of breath.
The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)
Decreased lung sounds
Heart rate 110/min and regular
Oxygen saturation of 95%
Subcutaneous emphysema
Trachea midline
Puncture site dry
Correct Answer : A,B,D
Decreased Lung Sounds: Could indicate complications such as pneumothorax.
Heart Rate 110/min: Tachycardia may suggest a reaction to recent procedures or other underlying issues.
Subcutaneous Emphysema: Indicates possible air leakage that needs to be addressed.
Does Not Require Immediate Follow-Up:
Oxygen Saturation of 95%: Indicates acceptable oxygenation status.
Trachea Midline: Shows that there is no mediastinal shift.
Puncture Site Dry: Indicates that there is no ongoing issue at the insertion site
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is "{\"xRanges\":[91.72221374511719,121.72221374511719],\"yRanges\":[59.1666259765625,89.1666259765625]}"
Explanation
- This is the correct area of auscultating for carotid bruit.
- This is the area of auscultation for femoral artery bruit.
- This is the brachial artery region.
- This is the abdominal aorta
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