After noting paradoxical chest wall movement, the nurse must immediately assess the client for:
a. Tracheal deviation.
b. Vesicular breath sounds in the lung periphery.
c. Hyperinflation of the affected lung.
d. Increased sputum production.
ANS: A
You might also like to view...
The nurse is caring for a patient infected with methicillin-resistant 1 Staphylococcus aureus (MRSA). What's the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting?
A) Using antibacterial soap when bathing patients with MRSA B) Conducting culture surveys periodically C) Ensuring that personnel wash their hands before and after contact with every patient D) Using specific housekeeping practices for environmental cleaning
A nurse tells a patient, "I know how you feel. My spouse can be very insensitive too. I am also considering divorce." Analysis suggests that the nurse is
a. self-disclosing inappropriately. b. experiencing countertransference. c. using empathy to establish trust with the patient. d. encouraging the patient to express negative feelings.
The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears b. Works under the guidance of an anesthesiologist c. Obtains a PhD degree in anesthesiology d. Coordinates acute medical conditions
A client is taking carbamazepine (Tegretol). What type of seizure activity does the nurse anticipate this client has experienced?
1. Tonic-clonic seizure 2. Absence seizure 3. Simple partial seizure 4. Febrile seizure