Increased heart rate.

Discomfort at the puncture site.

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

Decreased temperature.

Serosanguineous drainage from the puncture site.

Shortness of breath.

Chest pain.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Decreased temperature is not typically an immediate complication following a thoracentesis. It may indicate an infection, but this would develop over time rather than immediately after the procedure.
Choice B rationale
Serosanguineous drainage from the puncture site is expected after a thoracentesis and does not indicate a complication that requires immediate attention.
Choice C rationale
Shortness of breath is a serious complication that can indicate a pneumothorax or re- accumulation of fluid in the pleural space. This requires immediate attention and intervention by the healthcare provider.
Choice D rationale
Chest pain can be a sign of a complication such as a pneumothorax or infection. However, shortness of breath is a more immediate and severe symptom that requires urgent attention.

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Correct Answer is B

Explanation

Choice A rationale
Fever. This statement is incorrect. While fever can occur in clients with ITP due to infections, it is not a specific manifestation of the condition. ITP primarily affects platelet counts and bleeding tendencies.
Choice B rationale
Ecchymosis. This statement is correct. Ecchymosis, or bruising, is a hallmark manifestation of ITP due to low platelet counts and increased bleeding tendencies. Clients with ITP are prone to bruising and bleeding even with minor trauma.
Choice C rationale
Fatigue. This statement is incorrect. While fatigue can occur in clients with ITP due to anemia or chronic illness, it is not a specific manifestation of the condition. ITP primarily affects platelet counts and bleeding tendencies.
Choice D rationale
Elevated WBC. This statement is incorrect. Elevated white blood cell counts are not typically associated with ITP, which primarily affects platelet counts. An elevated WBC may indicate infection or inflammation but is not specific to ITP10111213.

A. Supraventricular tachycardia. B. Atrial fibrillation. C. Sinus bradycardia. D. First-degree heart block.

Correct Answer is B

Explanation

Choice A rationale
Supraventricular tachycardia (SVT) is characterized by a rapid heart rate originating above the ventricles, typically with a regular rhythm and identifiable P waves. The described ECG strip shows an irregular rhythm and an inability to identify P waves, which is not consistent with SVT5.
Choice B rationale
Atrial fibrillation (AF) is characterized by an irregularly irregular rhythm, absence of identifiable P waves, and variable PR intervals. The ECG findings of an irregular rhythm, inability to identify P waves, and a QRS duration of 0.10 seconds are consistent with AF6.
Choice C rationale
Sinus bradycardia is characterized by a regular rhythm with a heart rate less than 60 beats per minute and identifiable P waves preceding each QRS complex. The described ECG strip shows an irregular rhythm and an inability to identify P waves, which is not consistent with sinus bradycardia.
Choice D rationale
First-degree heart block is characterized by a prolonged PR interval with a regular rhythm. The described ECG strip shows an irregular rhythm and an inability to measure the PR interval, which is not consistent with first-degree heart block.

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Increased heart rate. Discomfort at the puncture site. A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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Increased heart rate.

Discomfort at the puncture site.

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?