The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer
While assisting with a subclavian vein central line insertion, the nurse notes the client's oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what?
A) Diminished or absent breath sounds on the affected side
B) Paradoxical chest wall movement with respirations
C) Tracheal deviation to the unaffected side
D) Muffled or distant heart sounds
Ans: A
Feedback: In the case of a pneumothorax, auscultating the breath sounds will reveal absent or diminished breath sounds on the affected side. Paradoxical chest wall movements occur in flail chest conditions. Tracheal deviation occurs in a tension pneumothorax. Muffled or distant heart sounds occur in pericardial tamponade.
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Ethics is the study of what is right and wrong related to human conduct
Indicate whether the statement is true or false
Resource linkage
1. is used only in the inpatient setting. 2. is implemented by nurses only. 3. focuses on monitoring medications. 4. is a component of case management.
The nurse is providing care to a child experiencing shock. Which of the following intravenous solutions would the nurse expect to administer?
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A nurse has a needlestick injury during caring for a client whose infectious status is unknown. What course of action should the nurse follow?
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