A nurse is caring for a client who has a pneumothorax.
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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
- Total volume to infuse: 200 mL
- Time for infusion: 2 hours
- The IV pump rate is calculated as: (Total Volume / Time) = Rate
- So, the calculation would be: (200 mL / 2 hr) = 100 mL/hr
- The nurse should set the IV pump to deliver 100 mL/hr.
Answer= 100
Correct Answer is ["8"]
Explanation
Given:
- IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline.
- The prescribed rate is 8 units/hr.
First, we find out how many units are present in 1 mL of the IV solution:
100 units / 100 mL = 1 unit / 1 mL
Now, since the prescribed rate is 8 units/hr, we need to infuse 8 mL/hr of the IV solution to deliver 8 units of insulin per hour.
So, the nurse should program the infusion pump to deliver 8 mL/hr.
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