A nurse who assesses an adult patient following a motor vehicle accident observes that the patient has increased use of accessory muscles and is complaining of pain and shortness of breath
The patient is exhibiting symptoms of which of the following?
A) Pneumothorax
B) Anxiety
C) Asthma
D) Cardiac tamponade
Ans: A
Feedback: The signs and symptoms of a large pneumothorax include dyspnea, air hunger, increased use of accessory muscles, and cyanosis.
You might also like to view...
The nurse understands that how pain is transmitted and perceived is still not completely understood. The gate control theory proposed by Melza and Wall includes the following characteristics: Standard Text: Select all that apply
1. Large-diameter nerve fibers carry pain stimuli through a gate. 2. Peripheral nerve fibers carrying pain to the spinal cord can have their message modified at the spinal cord before transmission to the brain. 3. Certain cells can interrupt the pain messages. 4. A nerve pathway can carry only a few messages at a time. 5. To inhibit the pain message, another message must be sent on the nerve pathway for the brain to interpret.
A patient is in congestive heart failure due to damage from a myocardial infarction. Which gastrointestinal manifestation would the nurse expect on assessment?
1. Severe stomach cramping 2. Decreased bowel sounds 3. Enlargement of the liver 4. Esophageal reflux
A patient has the nursing diagnosis Impaired Physical Mobility related to decreased blood flow to the lower extremities
To address this nursing diagnosis, the nurse should instruct the patient to walk for at least 30 minutes at least _______ times a week. Fill in the blank(s) with correct word
When preparing to do a comprehensive health assessment, the nurse obtains the client's permission based on an understanding of which of the following?
A) The client has the right to refuse. B) Permission maintains the client's confidentiality. C) It ensures that the client will answer personal questions. D) The client's level of comfort will be increased