A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?
Coughing
Motor vehicle accidents
Falls
Assault
The Correct Answer is B
A. Coughing: While coughing can be a symptom of respiratory distress or lung injury, it is not typically a direct cause of flail chest. Flail chest is characterized by multiple rib fractures leading to a segment of the chest wall moving independently, which can result from blunt trauma like a motor vehicle accident.
B. Motor vehicle accidents: Flail chest commonly results from significant trauma, such as that from a motor vehicle accident. The blunt force of the impact during an accident can cause multiple rib fractures, which can result in the characteristic paradoxical chest movement seen in flail chest.
C. Falls: Although falls can result in rib fractures, they are less likely to cause the severe trauma and multiple rib fractures required to result in flail chest. While serious falls could contribute to a flail chest in certain scenarios, motor vehicle accidents are more common for this type of injury.
D. Assault: While an assault can cause chest injuries, including rib fractures, it is less commonly associated with flail chest compared to the more significant force from motor vehicle accidents. The mechanism of injury in assaults may not involve the level of blunt trauma that leads to multiple rib fractures and flail chest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "The ability to insert an endotracheal tube": This competency refers to technical skills in airway management, not to addressing cultural concerns or preferences in care. The ability to insert an endotracheal tube is a skill that does not directly relate to the scenario of cultural sensitivity.
B. "The ability to precept another nurse": While precepting may involve teaching or guiding others, the discussion of gender preferences for care is related to cultural competency and collaboration in a healthcare setting, rather than mentoring another nurse.
C. "The ability to collaborate as a team member.": The scenario described highlights the need for the nurse to work with the provider and the client to address cultural concerns and ensure that the client feels comfortable with their care. Collaboration with the healthcare team is a key competency in providing culturally sensitive care.
D. "The ability to act as charge nurse" Being a charge nurse involves managing a team, but it is not specifically relevant to addressing the client's preferences regarding the gender of the provider. This issue is more about cultural competence and collaboration than charge nurse responsibilities.
Correct Answer is D
Explanation
A. Airway obstruction occurs due to thinning mucus: Mucus thinning is typically not associated with airway obstruction. Instead, airway obstruction occurs when the mucus is thickened, leading to blockage of the airways, especially in asthma.
B. Inflammation is reduced due to airway diameter: During bronchospasm, airway inflammation increases, not reduces. The diameter of the airways becomes narrowed due to swelling, mucus production, and muscle contraction, exacerbating asthma symptoms.
C. Decreased mucus production contributes to airway constriction: Mucus production generally increases in asthma, contributing to airway narrowing and constriction. Decreased mucus would not be a direct factor in bronchospasm.
D. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm in asthma is caused by inflammation, edema, and excess mucus production, all of which contribute to airway narrowing and difficulty breathing. This is the most accurate description of the physiological process in asthma exacerbations.
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