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 B
Explanation
a) Dry swollen, fissuring lips: Not a typical symptom of Kawasaki disease; however, red, cracked lips (strawberry tongue) can occur.
b) Conjunctivitis with exudate: Conjunctivitis is a common symptom of Kawasaki disease.
c) Nonpalpable lymph nodes: Kawasaki disease often presents with enlarged cervical lymph nodes.
d) Cyanosis of the hands and feet: Not a characteristic symptom of Kawasaki disease; however, extremity changes like redness or swelling might occur.
Correct Answer is B
Explanation
a) Acute diarrhea, dehydration: Not typically associated with Hirschsprung disease, which involves constipation.
b) Failure to pass meconium, abdominal distension: Characteristic signs of Hirschsprung disease due to the absence of ganglion cells in the distal colon, leading to constipation and distension.
c) Gelatinous stools, pain: Uncommon features of Hirschsprung disease.
d) Projectile vomiting, altered electrolytes: These symptoms are not typically seen in Hirschsprung disease; they might indicate other conditions affecting the gastrointestinal tract.
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