A tall, thin patient in his mid-twenties presents to the ICU with dyspnea, pleuritic chest pain, and a heart rate of 120 bpm. A chest radiograph shows a contralateral mediastinal shift. Which condition does this patient most likely have?
A) Primary spontaneous pneumothorax
B) Secondary spontaneous pneumothorax
C) Traumatic pneumothorax
D) Transudative pleural effusion
A
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The nurse educates the older adult regarding a new diagnosis of diabetes mellitus. Which of the following educational materials should the nurse consider as appropriate?
A) A commercial pamphlet with pictures and font size 12 B) An audio recording. C) Online interactive presentation D) Printed handouts on white paper with font size 16
The nurse is caring for a client in Pediatric Intensive Care. The parents have expressed anger over the nursing care their child is receiving. Which is the most appropriate nursing intervention for these parents?
1. Ask the physician to talk with the family. 2. Explain to the parents that their anger is affecting their child, so they will not be allowed to visit the child until they calm down. 3. Acknowledge the parents' concerns and collaborate with them regarding the care of their child. 4. Call the chaplain to sit with the family.
A client has the following arterial blood results: pH 7.12, HCO3– 22 mEq/L, PCO2 65 mm Hg, PO2 56 mm Hg. The nurse correlates these values with which clinical situation?
a. Diabetic ketoacidosis in a person with emphysema b. Tracheal obstruction related to aspiration of a hot dog c. Anxiety-induced hyperventilation in an adolescent d. Diarrhea for 36 hours in an older, frail woman
Some persons breathe through a stoma in the neck. Before starting mouth-to-mouth or mouth-to-nose breathing, always check to see if the person has a stoma
Indicate whether the statement is true or false