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immediate follow-up.)

A.

Decreased lung sounds

B.

Heart rate 110/min and regular

C.

Oxygen saturation of 95%

D.

Subcutaneous emphysema

Answer and Explanation

Correct Answer : A,B,D

A.    This may indicate a pneumothorax, which is a potential complication of thoracentesis. 
B.    A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications. 
C.    While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress. 
D.    This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications. 

 


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Related Questions

Correct Answer is C

Explanation

A. This statement suggests a delusion or hallucination, which are common symptoms of some mental disorders, but it does not specifically suggest an inability to process new information.
B. This statement suggests paranoia, which is a common symptom of some mental disorders, but it does not specifically suggest an inability to process new information.
C. This statement suggests difficulty with memory, which is a cognitive function that is related to the ability to process new information.
D. This statement suggests a persistent negative mood, which is a symptom of some mental disorders, but it does not specifically suggest an inability to process new information.

Correct Answer is C,A,D,B,E

Explanation

The correct order is C,A,D,B,E.

C. Open the airway using a jaw-thrust maneuver.

This is the first priority since maintaining a clear airway is critical for the client’s survival.

A. Determine effectiveness of ventilatory efforts.

After ensuring the airway is open, assess the client’s breathing and whether they are ventilating effectively.

D. Perform a Glasgow Coma Scale assessment.

This step evaluates the client’s neurological status to determine their level of consciousness and identify any brain injuries.

B. Remove clothing for a thorough assessment.

To expose the client for a comprehensive physical examination and assess any injuries.

E. Control any external bleeding.

As part of circulation management, identify and stop any significant bleeding to prevent shock. This step addresses the "C" in ABCDE.

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