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.

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Correct Answer is B

Explanation

A. Drooling: Drooling is a common symptom of Parkinson’s disease due to impaired swallowing and decreased muscle control, and anticholinergic agents may actually help reduce it. Therefore, it is not a side effect that the client needs to report, but rather an expected symptom that may improve with medication.
B. Anhidrosis: Anhidrosis, or the inability to sweat, is a significant side effect of anticholinergic medications. This condition can lead to overheating and heatstroke, especially in warm environments. Clients should report this side effect immediately, as it may require dose adjustment or discontinuation of the medication.
C. Tremors: Tremors are a hallmark symptom of Parkinson’s disease, not a side effect of anticholinergic medications. These medications are often prescribed to reduce tremors, so the presence of tremors would not typically indicate a medication issue unless they worsen unexpectedly.
D. Rigidity: Rigidity is another classic motor symptom of Parkinson’s disease. Anticholinergic drugs do not typically cause or worsen rigidity. If rigidity persists or worsens, it may indicate disease progression rather than a medication side effect.

A. "You have fewer red blood cells." B. "You have had a gastrointestinal bleed." C. You have a low ferritin level." D. "You have an autoimmune disease.

Correct Answer is A

Explanation

A. "You have fewer red blood cells": Sickle cell anemia results in the production of abnormal hemoglobin, which causes red blood cells to sickle, leading to a reduction in the number of healthy red blood cells. This decreases the oxygen-carrying capacity of the blood, causing fatigue.
B. "You have had a gastrointestinal bleed": Gastrointestinal bleeding can cause anemia, but this is not the primary cause of fatigue in sickle cell anemia. The fatigue is more directly related to the anemia resulting from the sickling of red blood cells.
C. "You have a low ferritin level": Ferritin is a measure of iron storage, and although iron deficiency can lead to fatigue, it is not the primary cause of fatigue in sickle cell anemia. The fatigue is mainly due to the reduced number of red blood cells and their impaired ability to carry oxygen.
D. "You have an autoimmune disease": Sickle cell anemia is a genetic disorder, not an autoimmune disease. The fatigue arises from anemia caused by the sickling of red blood cells, not from an autoimmune process.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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