Patient Data
Mark whether the assessment findings indicate that the treatment was effective or ineffective. Assessment Findings
Rhonchi in the right lung
Symmetric chest expansion
Oxygen saturation greater than 949%
PaCO2 55 mm Hg on a blood gas
Client ambulates without shortness of breath
Diminished breath sounds in the right lung
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
A. Rhonchi are abnormal breath sounds that indicate the presence of mucus or fluid in the airways. Finding rhonchi in the right lung suggests the presence of respiratory congestion or obstruction, which may indicate ineffective treatment or ongoing respiratory issues.
B. Symmetric chest expansion indicates equal and adequate movement of both sides of the chest during inhalation. This finding suggests that there are no restrictions or abnormalities in the chest wall or lung tissue, which is indicative of effective treatment.
C. Oxygen saturation greater than 94% indicates adequate oxygenation of the blood, which is a positive indicator of effective treatment, particularly in clients with respiratory issues such as pneumonia or COPD.
D. A PaCO2 level of 55 mm Hg indicates hypercapnia, which is an elevated level of carbon dioxide in the blood. This finding suggests inadequate ventilation or respiratory failure, indicating ineffective treatment.
E. The ability to ambulate without experiencing shortness of breath suggests improved respiratory function and effective treatment, as it indicates adequate oxygenation and ventilation.
F. Diminished breath sounds suggest reduced airflow or lung volume in the affected area. This finding may indicate ongoing respiratory issues or incomplete resolution of the condition, suggesting ineffective treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. As HIV replicates within helper T-cells, it damages and destroys them, leading to a progressive decline in the number of CD4 cells in the body. This loss of helper T-cells weakens the immune system's ability to mount an effective response against infections
B. HIV infection does not typically lead to an increase in B-lymphocytes (B cells) or IgM antibodies.
C. While HIV infection can eventually lead to a deficiency in cytotoxic T-cells (CD8-positive T cells), particularly in advanced stages of the disease, the primary target of HIV is helper T-cells (CD4-positive T cells).
D. HIV infection does not result in the proliferation of suppressor T-cells (regulatory T cells).
Correct Answer is D
Explanation
D. The client's symptoms, including persistent upper abdominal pain radiating to the back, vomiting, elevated temperature, and elevated serum amylase and lipase levels, are indicative of acute pancreatitis. Post-cholecystectomy pancreatitis can occur as a complication of cholecystectomy, particularly if there is injury to the pancreas or if a gallstone becomes lodged in the common bile duct during surgery.
A. While biliary duct obstruction is a potential complication of cholecystectomy, the client's symptoms are more consistent with acute pancreatitis.
B. The client's symptoms and laboratory findings are more indicative of acute pancreatitis rather than hepatorenal failure.
C. The client's symptoms are not consistent with a typical surgical site infection.
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