A patient presents with chest trauma from an MVA
Upon assessment, the nurse documents that the patient is complaining of dyspnea, shortness of breath, tachypnea, and tracheal deviation to the right. In addition, the client's tongue is blue-gray. Based on the following data, what the nurse would expect to find?
a. PaO2 of 88 and PCO2 of 55
b. Absent breath sounds in all right lung fields
c. Absent breath sounds in all left lung fields
d. Diminished breath sounds in all fields
C
The clinical picture described is most consistent with left pneumothorax. This would cause the trachea to deviate to the right, away from the increasing pressure of the left. A pneumothorax this severe would completely collapse the right lung, thus causing absent breath sounds in that lung.
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A client reports to the primary health care facility with complaints of chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply?
A) "The physician wants to monitor you and control your pain." B) "Yes, you had a heart attack; this is why you are here with us." C) "Yes, you had a heart attack, but the damage is very minimal." D) "No; we can assure you that you will not have a heart attack."
An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable, such as drinking parties and sexual explorations. What should the nurse do?
1. Tell the adolescent to stay away from "friends like that." 2. Be open to the concerns and provide accurate information about any questions. 3. Encourage the adolescent to accept psychosocial counseling. 4. Give the adolescent pamphlets on sexually transmitted diseases.
Which of the following statements differentiates between the scope of practice of the advanced practice role of surgical assistant (PNSA/RNFSA) and that of the nurse practitioner (NP)?
a. Only the NP can undertake preoperative assessment and history taking and postoperatively assist in assessment of the patient's physiological and behavioural response to the operative procedure. b. Only the NP with appropriate education and training can assist the surgeon with tissue retraction and dissection, haemostasis and wound closure during the operative procedure. c. Only the NP has legislated authority to diagnose, prescribe medications and order diagnostic investigations. d. Only the NP can contribute to continuity of care for a smooth perioperative patient journey.
A 73-year-old female client with Parkinson's syndrome was prescribed levodopa when other therapies had failed. The client is alarmed that her urine has become dark brown and is concern
The nurse explains to the client that one of the side effects of this medication is that it may cause: 1. Her urine to become dark brown or black 2. Heart failure 3. Kidney failure 4. Hair loss