A nurse is caring for a client who has a pneumothorax.

Exhibits

A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?

For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.

Obtain intravenous access

Thoracentesis

Pulmonary Function Tests (PFTS)

Prepare for insertion of a chest tube.

Obtain ABGS

Computed tomography (CT) of the chest

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Obtain intravenous access: Anticipated: Essential for administering medications, fluids, and potential emergency treatments.
Thoracentesis: Non-essential: Typically used for pleural effusions, not primary treatment for pneumothorax; chest tube insertion is the main treatment.
Pulmonary Function Tests (PFTs): Non-essential: Useful for diagnosing chronic respiratory conditions but not a primary intervention for pneumothorax.
Prepare for insertion of a chest tube: Anticipated: A chest tube is often necessary to re-expand the lung and treat a significant pneumothorax.
Obtain ABGs: Anticipated: Important for assessing the client’s oxygenation and acid-base balance due to respiratory distress.
Computed tomography (CT) of the chest: Anticipated: CT can be used to diagnose the extent of the pneumothorax and guide treatment.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Check the tubing connections for leaks. is incorrect. Slow, steady bubbling in the suction control chamber is normal if suction is correctly set up.

B. Check the suction control outlet on the wall. is correct. If there is slow, steady bubbling, it may indicate that the suction control pressure needs adjustment.

C. Continue to monitor the client's respiratory status. is incorrect. While monitoring is always important, it does not address the issue of the bubbling in the suction control chamber.

D. Clamp the chest tube. is incorrect. Clamping the chest tube is not appropriate and can lead to complications.

A. Diarrhea B. Hematuria C. Increased thirst D. Impaired taste

Correct Answer is B

Explanation

A. Diarrhea is incorrect. Diarrhea is not a common complication associated with pelvic fractures.

B. Hematuria is correct. Hematuria, or blood in the urine, is a common complication of pelvic fractures due to potential injury to the urinary tract.

C. Increased thirst is incorrect. Increased thirst is not a typical sign of a complication from pelvic fractures.

D. Impaired taste is incorrect. Impaired taste is not related to pelvic fractures or their common complications.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

Correct Answer is B

Explanation

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