Which finding would the nurse expect in a patient with a large tension pneumothorax?
A) Diaphragm is lower on the affected side.
B) Diaphragm is lower on the ipsilateral side.
C) Diaphragm is higher on the affected side.
D) Diaphragm is higher on the ipsilateral side.
A) Diaphragm is lower on the affected side.
Explanation: A) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
B) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
C) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
D) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
You might also like to view...
The nurse assessing a renal failure patient for encephalopathy caused by high uremic levels may observe which of the following clinical manifestations?
A) Severe chest pain with pericardial friction rub on auscultation B) Stiff immobile joints and contractures C) Loss of recent memory and inattention D) Pruritus with yellow hue to skin tone
A patient with a history of smoking is diagnosed with cancer. If applying the cellular mutation theory of cancer to this patient's diagnosis, the nurse realizes that smoking impacted which stage?
1. promotion 2. initiation 3. progression 4. replication
The client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this seizure activity?
A. Generalized atonic seizure B. Generalized absence seizure C. Generalized myoclonic seizure D. Generalized tonic-clonic seizure
The nurse is assessing a female client who has been taking chlorpromazine. Which should the nurse include in the assessment?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Ask the client if she is taking any herbal medicine. B. Obtain a lipid profile. C. Ask the client questions regarding amount of alcohol intake. D. Determine the date of her last menstrual period. E. Assess thyroid function with laboratory work.