You are caring for a 14-year-old patient in the ER following a motor vehicle accident. The patient is exhibiting moderate respiratory distress, with decreasing LOC and becoming hypotensive. On chest X:ray, there is air in the pleural space with tracheal deviation. You suspect which condition?
Pulmonary constriction
Smoke inhalation injury
Pneumonia
Tension pneumothorax
The Correct Answer is D
a) Pulmonary constriction: Typically, not associated with tracheal deviation or air in the pleural space.
b) Smoke inhalation injury: Unlikely to cause tracheal deviation or air in the pleural space.
c) Pneumonia: Does not typically cause tracheal deviation or immediate hypotension.
d) Tension pneumothorax: Presents with air in the pleural space, tracheal deviation, respiratory distress, decreasing LOC, and can lead to hypotension due to compromised circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Toddlers play side-by-side, while preschoolers play cooperatively: Toddlers typically engage in parallel play, being near each other but playing independently, whereas preschoolers start engaging in more cooperative play.
b) There are no differences: There are developmental differences in play between toddlers and preschoolers.
c) Toddlers play house and adult roles, while preschoolers play mom and dad roles while playing house: The described roles are not typically associated with toddlers.
d) Toddlers play cooperatively, while preschool children prefer interactive games: Toddlers generally engage less in cooperative play compared to preschoolers who are more capable of interactive play.
Correct Answer is B
Explanation
a) Constipation: Not typically a primary symptom of cystic fibrosis.
b) Meconium ileus: Meconium ileus is a bowel obstruction that occurs shortly after birth due to abnormally thick meconium. It is a classic early sign of cystic fibrosis in newborns. Other symptoms such as failure to thrive, persistent cough, salty-tasting skin, and recurrent respiratory infections may also manifest later.
c) Rectal prolapse: Can be related to cystic fibrosis but is not as specific as other symptoms.
d) Steatorrhea stools: Frequent fatty stools are symptoms of the disease but not specific to cystic fibrosis.
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