Exhibits

Which of the following is the most appropriate initial management for this patient?

Perform needle decompression of the pleural space followed by chest tube insertion.

Prescribe bronchodilators and schedule a pulmonary function test.

Administer oral antibiotics and arrange follow-up in a week.

Initiate high-flow oxygen therapy and monitor the patient.

Answer and Explanation

The Correct Answer is C

A. Nasal saline irrigation alone: While nasal saline irrigation can help to clear out mucus and congestion, it is often not sufficient to treat bacterial sinusitis.

B. Oral decongestants alone: Decongestants may provide temporary relief of symptoms but are not effective against bacterial infections.

C. Oral antibiotics: Antibiotics are the most appropriate treatment for acute bacterial sinusitis, as they can target the underlying infection.

D. Intranasal corticosteroids alone: Corticosteroids can be helpful for managing allergic rhinitis but are not effective against bacterial infections.

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Correct Answer is C

Explanation

A. Respiratory alkalosis: Respiratory alkalosis is generally associated with hyperventilation and is not directly caused by tension pneumothorax. In tension pneumothorax, the primary issues are related to pressure changes within the thoracic cavity, not respiratory alkalosis.

B. Increased venous return: In tension pneumothorax, venous return is actually decreased due to the increased intrathoracic pressure compressing the great vessels, which impedes blood flow back to the heart.

C. Decreased cardiac output: Tension pneumothorax causes a significant increase in intrathoracic pressure, leading to compression of the heart and great vessels, which results in decreased venous return and ultimately decreased cardiac output. This is a critical and life-threatening consequence of tension pneumothorax.

D. Dilated ventricles: Dilated ventricles are more commonly seen in chronic heart conditions such as heart failure, rather than in acute tension pneumothorax. Tension pneumothorax typically results in reduced ventricular filling rather than dilation.

A. Reposition the client every 4 hr. B. Place the head of the client's bed at 40° when supine. C. Turn off the ventilator alarms before suctioning the client's airway. D. Provide mouth care every 10 to 12 hr with hydrogen peroxide.

Correct Answer is B

Explanation

A. Reposition the client every 4 hr.: Repositioning should be done more frequently, typically every 2 hours, to prevent complications such as pressure ulcers.

B. Place the head of the client's bed at 40° when supine: Elevating the head of the bed to 30-45° helps reduce the risk of ventilator-associated pneumonia (VAP) by preventing aspiration.

C. Turn off the ventilator alarms before suctioning the client's airway: Ventilator alarms should never be turned off as they are critical for monitoring the client's status. Alarms can be temporarily silenced, but only for the duration of the procedure.

D. Provide mouth care every 10 to 12 hr with hydrogen peroxide: Mouth care should be provided more frequently, typically every 4 hours, to reduce the risk of infection. Hydrogen peroxide is not commonly used due to its potential to cause irritation and harm to oral tissues.

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Exhibits Which of the following is the most appropriate initial management for this patient?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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Exhibits Which of the following is the most appropriate treatment strategy for this patient, who is likely experiencing allergic rhinitis?

A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

Exhibits

Which of the following is the most appropriate initial management for this patient?