A patient is admitted to the respiratory unit with flail chest.
Which answer best describes this diagnosis?

A condition in which there is a puncture or rupture of the lung.

A condition characterized by the presence of air or gas in the pleural cavity.

A condition characterized by multiple fractures of the ribs resulting in a segment of the chest wall becoming detached.

A condition characterized by the collapse of the lung.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A puncture or rupture of the lung is typically associated with a pneumothorax, not flail chest. Pneumothorax occurs when air leaks into the space between the lung and the chest wall.

Choice B rationale

The presence of air or gas in the pleural cavity is known as pneumothorax. Flail chest, however, is characterized by multiple rib fractures.

Choice C rationale

Flail chest occurs when multiple adjacent ribs are fractured in multiple places, creating a free-floating segment of the chest wall. This condition is serious and often results from blunt chest trauma.

Choice D rationale

The collapse of the lung is known as atelectasis or pneumothorax, not flail chest. Flail chest specifically refers to the detachment of a segment of the rib cage.

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Correct Answer is A

Explanation

Choice A rationale

The inability to locate a dorsalis pedis pulse and increasing pain indicate compromised circulation, which requires immediate attention to prevent complications.

Choice B rationale

Pain relieved after administering medication indicates effective pain management, which is not an urgent issue to report immediately.

Choice C rationale

Generalized weakness and increasing sensitivity to touch can be concerning but are not as urgent as signs of compromised circulation.

Choice D rationale

Localized edema and discoloration are expected findings in a fracture and are not as urgent as an absent pulse. .

A. Use the inhaler before engaging in physical activity. B. Skip doses if symptoms improve. C. Use the inhaler only when experiencing severe symptoms. D. Double the dose if symptoms do not improve immediately.

Correct Answer is A

Explanation

Choice A rationale

Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.

Choice B rationale

Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.

Choice C rationale

Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.

Choice D rationale

Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.

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A patient is admitted to the respiratory unit with flail chest.Which answer best describes this diagnosis?

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A patient is admitted to the respiratory unit with flail chest.
Which answer best describes this diagnosis?