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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.

A.

Obtain intravenous access

B.

Thoracentesis

C.

Pulmonary Function Tests (PFTS)

D.

Prepare for insertion of a chest tube.

E.

Obtain ABGS

F.

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.


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Related Questions

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

Explanation

A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.

Correct Answer is A

Explanation

A. The client is experiencing premature atrial contractions is correct. Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.

B. The client has bilateral wheezes is incorrect. Wheezes affect lung function, not directly the accuracy of pulse pressure analysis for cardiac output.

C. The client has a decreased oxygen saturation level is incorrect. While it is a concern, it does not compromise pulse pressure readings directly.

D. The client has lower leg edema is incorrect. Edema affects peripheral circulation but does not directly compromise pulse pressure measurements for cardiac output.

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