A nurse is caring for a client who was involved in a motor-vehicle crash.
A nurse is providing care for a client who was involved in a motor-vehicle crash. Complete the following sentence.by using the list of options.
The nurse should first address the client's
The Correct Answer is {"dropdown-group-1":"D"}
1. Level of Consciousness:
2. Oxygen Saturation:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
- 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.
Correct Answer is B
Explanation
A. The visibility of the eyelets on the chest tube is not a critical indicator for immediate notification unless other issues are present.
B. Movement of the trachea toward the unaffected side can indicate tension pneumothorax or other significant issues requiring immediate intervention.
C. Crepitus around the insertion site can indicate subcutaneous emphysema, which may be a complication but not an immediate emergency.
D. Bubbling in the water seal chamber during exhalation is a normal finding, as it indicates that the chest tube is functioning to allow air to escape.
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