During a central IV line insertion at the bedside, a client reports shortness of breath and becomes tachypneic. Which finding should a nurse suspect indicates the client developed a pneumothorax?

Muffled heart sounds.

Sudden hemoptysis.

Absent breath sounds on the affected side.

Declining respiratory rate.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Muffled heart sounds are not a typical sign of pneumothorax. They are more commonly associated with conditions such as pericardial effusion or cardiac tamponade.
Choice B rationale
Sudden hemoptysis, or coughing up blood, is not a typical sign of pneumothorax. It is more commonly associated with conditions such as pulmonary embolism or lung cancer.
Choice C rationale
Absent breath sounds on the affected side is a typical sign of pneumothorax. When air enters the pleural space and causes the lung to collapse, breath sounds may be absent or significantly decreased on the affected side.
Choice D rationale
A declining respiratory rate is not a typical sign of pneumothorax. In fact, a rapid respiratory rate (tachypnea) is more commonly observed in pneumothorax due to the body’s attempt to compensate for the decreased lung capacity.

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Correct Answer is C

Explanation

Choice A rationale
PEEP does not decrease trapped oxygen in the alveoli. Instead, it helps to increase the volume of gas remaining in the lungs at the end of expiration, which can improve oxygenation.
Choice B rationale
PEEP does not directly promote independent breathing efforts. It is a mode of mechanical ventilation used to support a patient’s breathing.
Choice C rationale
PEEP keeps the airways and small lung spaces open by increasing the pressure in the lungs at the end of expiration. This can prevent alveolar collapse and improve oxygenation in patients with conditions like ARDS23.
Choice D rationale
While PEEP can be used in the process of weaning a patient off mechanical ventilation, its primary benefit is not facilitating weaning. It is used to improve oxygenation and prevent alveolar collapse.

A. Contact a healthcare provider immediately if there is drooling or inability to fully open the mouth. B. Avoid sharing drinks or eating utensils with others. C. Take prescribed antibiotics on time and do not miss doses. D. Check the body for skin rash twice daily. E. Drink at least 2-3 liters of fluid per day unless contraindicated.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale
Viral pharyngitis can sometimes lead to serious complications such as peritonsillar abscess. Symptoms of this condition include drooling and inability to fully open the mouth. Therefore, patients should be advised to contact a healthcare provider immediately if they experience these symptoms.
Choice B rationale
Viral pharyngitis is contagious and can be spread through saliva. Therefore, patients should be advised to avoid sharing drinks or eating utensils with others to prevent the spread of the infection.
Choice C rationale
Antibiotics are not effective against viral infections, including viral pharyngitis. Therefore, taking prescribed antibiotics on time and not missing doses is not relevant in the context of viral pharyngitis.
Choice D rationale
Checking the body for skin rash twice daily is not typically necessary for patients with viral pharyngitis. While some viruses can cause a rash, it is not a common symptom of viral pharyngitis.
Choice E rationale
Drinking at least 2-3 liters of fluid per day unless contraindicated can help soothe a sore throat and prevent dehydration, which can occur if the patient has a fever or is not eating well due to the sore throat.

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During a central IV line insertion at the bedside, a client reports shortness of breath and becomes tachypneic. Which finding should a nurse suspect indicates the client developed a pneumothorax?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?

Correct Answer is C

Explanation

A clinic nurse is preparing a lesson for nursing students on the care of patients with viral pharyngitis. What information should be included in the lesson? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.

A nurse is providing education to a client diagnosed with Obstructive Sleep Apnea (OSA). Which of the following signs and symptoms of OSA should the nurse include in the education? Select all that apply.

A nurse is caring for a client newly diagnosed with active tuberculosis (TB) and prescribed triple antibiotic therapy. The nurse should recognize that which clinical sign indicates inadequate drug therapy after 2 months of treatment?

A nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?

A nurse is educating a client after surgery for laryngeal cancer about a full liquid diet. What selection made by a client indicates to a nurse that the teaching was effective?

A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?

A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?