A client is brought to the emergency department following a motor vehicle accident. Which of the following nursing assessment is significant in diagnosing this client with flail chest?
A) Respiratory acidosis
B) Paradoxical chest movement
C) Chest pain on inspiration
D) Clubbing of fingers and toes
B
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Flail chest occurs when two or more adjacent ribs fracture and results in impairment of chest wall movement. Respiratory acidosis and chest pain are symptoms that can occur with flail chest but is not as significant in the diagnosis as paradoxical chest movement. Clubbing of fingers and toes are sign of prolonged tissue hypoxia.
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a. Verbal b. Persuasive c. Directive d. Nonverbal
The nurse notes that a patient's serum albumin level is elevated. Which other lab result should the nurse review?
1. Potassium 2. Calcium 3. Sodium 4. Chloride
During assessment, the client tells the nurse, "I don't believe that the existence of God has been proven. I don't see the scientific evidence I need to be certain." How does the nurse document this finding?
1. The client demonstrates polytheism. 2. The client is an atheist. 3. The client has beliefs that support monotheism. 4. The client is agnostic.
Nonverbal communication has little effect on confused residents.
Answer the following statement true (T) or false (F)