The client is admitted to the emergency department with a pneumothorax. The nurse anticipates that the client will be experiencing:
1. Dyspnea
2. Eupnea
3. Fremitus
4. Orthopnea
ANS: 1
The client with a pneumothorax (collapsed lung) will exhibit dyspnea and pain. Eupnea is normal, easy breathing. It would not be expected in the case of a pneumothorax. Fremitus is the vibration felt when the hand is placed on the client's chest and the client speaks (vocal fremitus). Fremitus would be decreased with a pneumothorax. Orthopnea is a condition in which the person must use multiple pillows when lying down or must sit with the arms elevated and leaning forward to breathe. The client with a pneumothorax would be exhibiting dyspnea.
You might also like to view...
Vegetables are likely to be highest in vitamin C if they are
a. boiled. b. canned. c. stir-fried. d. oven roasted.
The nurse is conducting a nutritional assessment for a toddler client who is diagnosed with failure to thrive (FTT). Which parameters will the nurse include in the assessment process for this toddler and family?
1. Height 2. Weight 3. Hemoglobin and hematocrit 4. Twenty four hour food diary 5. Maternal dietary intake during pregnancy
A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention?
a. Screening b. Referral and follow-up c. Surveillance d. Health teaching
A visual diagram of the family unit in relation to other units or subsystems in their community is a
a. Family assessment intervention model b. Friedman family assessment model c. Genogram d. Ecomap