A patient is diagnosed in the Emergency Department with a flail chest. Which assessment findings would the healthcare professional expect to find in this patient?

a. Fracture of several consecutive ribs
b. Multiple fractures to individual ribs
c. Fracture of the sternum
d. A systemic inflammatory process
e. Paradoxical chest wall movement


Answer:
a. Fracture of several consecutive ribs
b. Multiple fractures to individual ribs
c. Fracture of the sternum
e. Paradoxical chest wall movement

Nursing

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The nurse is assessing the client's pupillary responses. The client is found to have no consensual response. Which conclusion by the nurse is the most appropriate?

1. Cranial nerve III may not be functioning appropriately. 2. This is a normal finding. 3. This is evidence of increased intracranial pressure. 4. This is evidence of optic nerve damage.

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A client has recently been changed from intermittent tube feedings to a cyclic feeding schedule, in which the client receives feedings for 8 to 12 hours followed by several hours without feedings

What is the most likely rationale for this change in the client's feeding schedule? A) The client's nutritional needs are lower than they previously were. B) The client is transitioning from tube feedings to oral food intake. C) The client has experienced a fluid imbalance or electrolyte imbalance. D) The client's activity level and mobility have increased.

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What is the primary function in the immune process of the spleen?

a. Filter microorganisms from the blood. b. Store lymphocytes used to fight infec-tions. c. Produce additional RBCs (red blood cells). d. Stimulate WBC production.

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A patient who sustained multiple trauma now requires dialysis. Which information should the nurse provide about the need for this treatment?

1. "Temporary dialysis is commonly required when patients have had multiple trauma." 2. "The kidneys are somewhat fragile and can be stunned by trauma." 3. "Some of the life-saving drugs we use can be hard on the kidneys." 4. "Most patients with severe abdominal trauma have coexisting kidney damage." 5. "Crushing injuries to muscles can release substances that are harmful to the kidneys."

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