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NEW QUESTION 41
A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:
- A. Decreased breath sounds on the left and chest pain with movement
- B. Wheezing and dry cough
- C. Rhonchi and frothy sputum
- D. Crackles and paradoxical chest wall movement
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Crackles are caused by air moving through moisture in the small airways and occur with pulmonary edema. Paradoxical chest wall movement occurs with flail chest when a segment of the thorax moves outward on inspiration and inward on expiration. (B) Decreased breath sounds occur when a lung is collapsed or partially collapsed. Chest pain with movement occurs with rib fractures. (C) Rhonchi are caused by air moving through large fluid-filled airways. Frothy sputum may occur with pulmonary edema.
(D) Wheezing is caused by fluid in large airways already narrowed by mucus or bronchospasm. Dry cough could indicate a cardiac problem.
NEW QUESTION 42
A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?
- A. "Do you get along well with your family?"
- B. "You don't hate your family, do you?"
- C. "What is it like between you and your family?"
- D. "Do you communicate with your parents?"
Answer: C
Explanation:
(A, B) This statement can be answered with a simple yes or no. (C) This statement is asked in a negative manner and therefore has a negative connotation. (D) This statement is open ended and positively stated.
NEW QUESTION 43
A female client has been treated since childhood for mitral valve prolapse. The antibiotic of choice for her during pregnancy would be:
- A. Hydralazine
- B. Sulfa
- C. Tetracycline
- D. Erythromycin
Answer: D
Explanation:
(A) Sulfa is a teratogen and will cause kernicterus. (B) Tetracycline is a teratogen and will effect tooth development. (C) Hydralazine is not an antibiotic but a calcium channel blocker. (D) Erythromycin is safe during pregnancy and can be used when the client is allergic to penicillin.
NEW QUESTION 44
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