After dressing a sucking chest wound, the nurse notes that the client is developing severe dyspnea, tachypnea, cyanosis, tachycardia, and asymmetrical chest movements. The nurse would
a. check the chest dressing for any air leakage.
b. insert an 18-gauge needle into the pleural space.
c. notify the physician.
d. remove the chest dressing.
D
If a tension pneumothorax appears to be developing after the wound is sealed, the nurse should immediately unplug the seal to allow the air to escape.
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Which alteration of the psychological domain may occur in patients with sleep disorders?
1. Decreased immune function 2. Impaired cognitive functioning 3. Inability to perform work tasks 4. Decreased enjoyment in social activities
When transferring a client from the bed to a wheelchair, the nurse should:
a. raise the height of the bed. b. position the wheelchair 2 feet from the side of the bed. c. lock the wheelchair brakes and elevate the foot pedals. d. pivot the client so the client is facing the wheelchair.
A nurse educator is teaching a client about a healthy diet. What information would be included to reduce the risk of hypertension?
A) "Eat a diet high in fruits and vegetables." B) "Remember to drink eight to 10 glasses of water a day." C) "It is important to have increased fats in your diet." D) "Put away the salt shaker and eat low-salt foods."
A dirty wound is also known as:
a. A contaminated wound b. An infected wound c. A clean-contaminated wound d. A full-thickness wound