Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?

Higher oxygen saturations of 98% to 99%

Lower oxygen saturations of 93% to 94%

Lower energy expenditure

Increased lung capacity

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Higher oxygen saturations of 98% to 99% is inappropriate. A pneumothorax involves the presence of air in the pleural space, which can compromise lung function and gas exchange. This compromised lung function typically leads to decreased oxygenation of the blood, resulting in lower oxygen saturations rather than higher saturations.

Choice B Reason:

Lower oxygen saturations of 93% to 94% is appropriate. A pneumothorax disrupts the normal exchange of oxygen and carbon dioxide in the lungs due to partial or complete lung collapse. As a result, the affected lung is unable to adequately oxygenate the blood, leading to lower oxygen saturations, which are indicative of hypoxemia.

Choice C Reason:

Lower energy expenditure is inappropriate. Energy expenditure is not typically affected by a pneumothorax. While the discomfort and respiratory distress associated with a pneumothorax may cause the individual to limit physical activity, there is no direct impact on overall energy expenditure.

Choice D Reason:

Increased lung capacity is inappropriate. A pneumothorax results in partial or complete collapse of the affected lung, reducing lung capacity rather than increasing it. The presence of air in the pleural space creates positive pressure, which can compress the lung and decrease its ability to expand fully during inhalation.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A Reason:

Spinal cord injuries can disrupt the autonomic nervous system, impairing the body's ability to regulate temperature (thermoregulation). This can lead to temperature sensitivity, with clients experiencing issues such as difficulty sweating, shivering, or adapting to extreme temperatures.

Choice B Reason:

Contractures, which are the shortening and tightening of muscles, tendons, or ligaments, can occur as a complication of spinal cord injuries. Immobility and spasticity commonly seen in SCI can contribute to the development of contractures.

Choice C Reason:

Sexual dysfunction is a common complication of spinal cord injuries. SCI can affect sexual function and reproductive health due to changes in sensation, mobility, and autonomic nervous system function.

Choice D Reason:

Disc degeneration, or degenerative disc disease, typically occurs as a result of aging and wear and tear on the spinal discs. While SCI may lead to changes in spinal alignment and biomechanics, it is not a direct cause of disc degeneration.

Choice E Reason:

Urinary tract infections (UTIs) are a common complication of spinal cord injuries. Neurogenic bladder dysfunction, which is common in SCI, can lead to urinary retention, incomplete bladder emptying, and urinary stasis, increasing the risk of UTIs.

A. "The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord." B. "The nerve damage may occur for unknown reasons in any individual." C. "The older I get, there is less blood flowing to my feet." D. "The elevated blood sugar from my diabetes can cause underlying nerve damage."

Correct Answer is D

Explanation

Choice A Reason:

"The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord." is incorrect because it does not accurately describe the mechanism of peripheral neuropathy. Peripheral neuropathy in diabetes is not simply the nerves "going to sleep" due to lack of communication between the brain and spinal cord.

Choice B Reason:

"The nerve damage may occur for unknown reasons in any individual" is incorrect because while the exact cause of peripheral neuropathy may not always be known, in the context of diabetes mellitus, the link between elevated blood sugar levels and nerve damage is well-established.

Choice C Reason:

"The older I get, there is less blood flowing to my feet. “is incorrect because while decreased blood flow (ischemia) can contribute to peripheral neuropathy in some cases, the primary mechanism in diabetic neuropathy is nerve damage due to hyperglycemia rather than reduced blood flow.

Choice D Reason:

"The elevated blood sugar from my diabetes can cause underlying nerve damage." Peripheral neuropathy is a common complication of diabetes mellitus, particularly when the condition is uncontrolled. Elevated blood sugar levels over time can lead to damage to the nerves, especially those in the feet and legs. This damage can result in symptoms such as numbness, tingling, burning sensations, or pain in the affected areas.

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Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

Correct Answer is D

Explanation

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