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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Pancreatic cancer typically develops from a polyp: Pancreatic cancer typically originates in the exocrine cells of the pancreas and not from polyps, which are more common in colon cancer.
B. The pancreas's location increases the risk that cancer will spread into nearby structures and blood vessels: The pancreas is located close to major blood vessels and other organs, such as the liver, which increases the likelihood that cancer will spread locally, making it difficult to treat.
C. Pancreatic cancer is distinguished based on the layers of the pancreas: Pancreatic cancer is more commonly categorized by whether it originates from the exocrine or endocrine cells, not by layers.
D. Pancreatic cancers are classified as either endocrine pancreatic cancer or exocrine pancreatic cancer: While this is true, the critical point for education is the anatomical considerations, which are highlighted in option B.

A. Acetone breath B. Fever C. 68 years of age D. Serum glucose 800 mg/dl (74 to 105 mg/dL) E. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L) Insidious onset

Correct Answer is ["B","C","D","E"]

Explanation

A. Acetone breath: Acetone (fruity-smelling) breath is a hallmark of diabetic ketoacidosis (DKA), not HHS. It results from ketone production due to fat breakdown, which is typically absent in HHS.
B. Fever: Fever may indicate underlying infection, which is a common trigger for HHS in older adults. Infections raise stress hormone levels, worsening insulin resistance and contributing to severe hyperglycemia.
C. 68 years of age: HHS most commonly affects older adults, typically those with type 2 diabetes. Advanced age is a significant risk factor due to impaired thirst mechanisms and decreased kidney function.
D. Serum glucose 800 mg/dL (74 to 105 mg/dL): HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL. A level of 800 mg/dL is consistent with the severe hyperglycemia seen in HHS.
E. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L) Insidious onset: While bicarbonate levels in HHS may be mildly decreased, they are usually higher than in DKA. An insidious (gradual) onset with progressive symptoms over days is typical of HHS and differentiates it from the rapid onset of DKA.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about a recent diagnosis of pancreatic cancer. Which of the following information should the nurse include in the client education?

Correct Answer is B

Explanation

A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is assessing a client who has suspected acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following is the most common presenting manifestation of ARDS?

Which of the following obstructive sleep apnea risk factors and behavioral therapies should the nurse discuss with the client? (Select All that Apply.)

In which of the following types of pneumonia does consolidation involve the entire lobe of the lung?

A nurse is providing a presentation to colleagues on emphysema. Which of the following subtypes should the nurse identify as having a complication of pneumothorax?

A nurse is assessing a client who has hypoxemic respiratory failure. Which of the following findings should the nurse expect?

A nurse is caring for a client who has multiple sclerosis and reports a tightening feeling around their torso. Which of the following conditions should the nurse recognize this finding indicates?

A nurse is caring for a client who has flail chest. The nurse should identify the following information should the nurse include about adechest?