A patient being mechanically ventilated is diagnosed with barotrauma. Which assessment findings would lead the nurse to determine that the patient is experiencing subcutaneous emphysema?
Select all that apply.
1. blood-tinged sputum
2. swollen neck and face
3. reduced breath sounds
4. sudden reduction of heart sounds
5. crackling sound upon palpation of the skin of the upper chest
Correct Answer: 2, 5
Subcutaneous emphysema, or air in the subcutaneous tissue, causes tissue swelling of the chest, neck, and face. A "crackling" or air-bubble-popping sensation is felt on palpation of subcutaneous emphysema. Subcutaneous emphysema does not cause blood-tinged sputum or affect breath or heart sounds.
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The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness?
a. Holistic b. Biomedical c. Naturalistic d. Magicoreligious
Among the following, which defines the process for determining health care worker information systems training needs? Select all that apply
1. User classes are used to refine the types of training courses needed for system implementation. 2. End-users are identified and grouped by job class responsibilities. 3. Training needs of each job class are determined according to what functions each end-user will perform. 4. Training is delivered based upon what administrators decide to automate first. 5. User class is defined and categorized as the personnel who perform similar functions.
The nurse, a member of the Disaster Medical Assistance Team, does not attend critical incident defusing sessions and plans to return home prior to the beginning of any critical incident stress debriefing meetings
The nurse realizes that she is increasing her risk of developing: 1. Post-traumatic stress disorder. 2. Chronic fatigue syndrome. 3. Fibromyalgia. 4. Nutritional deficiency.
The school nurse is planning a smoking prevention program for middle school students. Which is most likely to be effective in preventing this population from smoking?
1. A demonstration of the pathophysiology of the effects of smoking tobacco on the body given by the school's biology teacher 2. A talk on the importance of not smoking given by a local high school basketball star 3. Colorful posters with catchy slogans displayed throughout the school 4. A pledge campaign during which students sign contracts saying that they will not use tobacco products