A patient presents with absent lung sounds in the left lower lung fields, moderate shortness of breath, and dyspnea. The nurse suspects pneumothorax and notifies the physician or nurse practitioner
Orders for a STAT chest radiography and reading are obtained. Which of the following findings best supports the nurse's suspicions? a. Blackness in the left lower lung area
b. Whiteness in the left lower lung area
c. Blunted costophrenic angles
d. Elevated left hemidiaphragm
A
With a pneumothorax, the pleural edges become evident as one looks through and between the images of the ribs on the film. A thin line appears just parallel to the chest wall, indicating where the lung markings have pulled away from the chest wall. In addition, the collapsed lung will be manifested as an area of increased density separated by an area of radiolucency (blackness).
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The perinatal nurse provides a hospital tour for couples and families preparing for labor and birth in the future. Teaching is an important component of the tour
Information provided about preterm labor and birth prevention includes: Select all answers that apply: A) Encouraging regular, on-going prenatal care B) Reporting symptoms of urinary frequency and burning to the health care provider C) Coming to the labor triage unit if back pain or cramping persist or become regular D) Lying on the right side, withholding fluids and counting fetal movements if contractions occur every five minutes
Beneficence, respect for human dignity, and justice imply protection from what? Select all that apply
a. Physical harm b. Emotional harm c. Spiritual harm d. Economic harm e. Social harm
An older woman who is a resident of a long-term care facility has to get up and void several times during the night. This can be the result of what physiologic change with normal aging?
A) Diminished kidney ability to concentrate urine B) Increased bladder muscle tone causing urinary frequency C) Increased bladder contractility causing urinary stasis D) Decreased intake of fluids during daytime hours
The mother of a 2-1/2-year old child who has had tonsillitis asks about the possibility of a tonsillectomy for the child. The nurse informs the mother that tonsillectomies are usually performed when the child is over 3 years old
The mother wants to know why children younger than 3 have to wait for a tonsillectomy. Which of the following is the nurse's best answer? a. "Surgery is too difficult on a younger child, because their mouths are so small, making it difficult to get to the tonsils." b. "It is too scary for younger children, and they don't understand what is happening." c. "Younger children are more prone to excessive blood loss and the tonsils growing back." d. "Separation from the parents or caregivers is much more difficult in the child under 3."