The nurse understands that emphysema decreases lung tissue elasticity. How does this affect lung inflation?

Produces bronchodilation

Increases oxygen saturation

Decreases systole

Decreases compliance

Answer and Explanation

The Correct Answer is D

A.   Emphysema is not associated with bronchodilation; it is characterized by the destruction of alveoli.
B.   Emphysema does not directly increase oxygen saturation; it impairs gas exchange.
C. Emphysema does not affect systole; it primarily affects lung function.
D.   Emphysema decreases lung tissue elasticity, leading to decreased compliance, making it harder for the lungs to inflate and deflate.

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Correct Answer is C

Explanation

A. Palpating the abdomen may provide additional information but is not the next step in this situation.
B. Documenting the finding as normal volume is not appropriate; a bladder volume of more than 600mL is considered significant.
C. Performing In & Out catheterization is the next step to relieve urinary retention.
D. Rechecking the bladder scan in 6 hours is not appropriate when immediate intervention is needed.

A. A patient who is a fall risk, has a bed alarm in place and is sleeping. B. A patient who is complaining of pain at a level 7 on the pain scale and is due for pain medication C. A patient with a tracheostomy who is wheezing, has increase secretions and is due for tracheostomy suction. D. A patient with a pressure ulcer (wound) to the sacrum who was just turned on their left side an hour ago.

Correct Answer is C

Explanation

A. While a fall-risk patient is important, the patient is currently sleeping and has a bed alarm in place, reducing immediate risk.
B. Pain management is important, but the patient is not in immediate distress, and pain can be addressed after the more critical patient is attended to.
C. A patient with a tracheostomy experiencing wheezing and increased secretions may be at risk for airway compromise and need immediate attention.
D. Turning a patient with a pressure ulcer, while important for prevention, is not as urgent as addressing potential airway issues in the tracheostomy patient.

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The nurse understands that emphysema decreases lung tissue elasticity. How does this affect lung inflation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client had his foley catheter removed eight hours ago and is unable to void. The nurse performs a bladder scan to check bladder volume. The bladder scan demonstrates more than 600mL of urine in the bladder. What should the nurse do next?

Correct Answer is C

Explanation

A nurse has been assigned 4 patients to care for at the beginning of their shift. Using the Safety and Risk Reduction priority setting framework, which of the following patients should be the priority to see first by the nurse?

Correct Answer is C

Explanation

A nurse has received an order to suction a patient's endotracheal tube. Which action is most appropriate when performing this intervention?

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A nurse is caring for a client who is being treated for a bladder infection. The client complains to the nurse that he has been having difficulty and it feels uncomfortable when he voids. How should the nurse document this client's condition?

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