NUR 430 NCLEX Revised Questions and Answers / Sure A +

Which manifestation is not associated with the exudative phase of acute lung injury? A) Increased airway resistance and work of breathing B) Cellular granulation and deposits of collagen in the capillary membrane C) Loss of surfactant, resulting in alveolar collapse D) Development of interstitial edema - B) Cellular granulation and deposits of collagen in the capillary membrane All are pathophysiologic manifestations of the exudative phase except cellular granulation and deposits of collagen in the capillary membrane, which occurs during the fibroproliferative phase as healing begins. Mr. D, a 28-year-old man, has been admitted to the intensive care unit for monitoring after a motor vehicle accident (MVA). Your physical assessment reveals multiple abrasions and bruising across the chest but an otherwise healthy young man. Suddenly, Mr. D complains of difficulty breathing. You quickly perform an assessment of his respiratory status and observe that his O2 saturation has dropped dramatically, there are decreased breath sounds on the left, and it appears that there is some tracheal deviation. What would be your next logical action? A) Notify Mr. D's physician and prepare for a stat V/Q scan. B) Start Mr. D on O2 at 4 L/min nasal cannula and prepare an aminophylline drip. C) Call the rapid response team and prepare for emergency insertion of a chest tube. D) Notify Mr. D's physician of these changes. - C) Call the rapid response team and prepare for emergency insertion of a chest tube. The signs and symptoms Mr. D is experiencing are classic indications of development of a pneumothorax. The characteristics that particularly differentiate this diagnosis are the bruising on the chest after MVA and the deviated trachea. Risk factors for pulmonary thromboembolism include the following predisposing factors except: A) ischemia. B) injury to the endothelial lining of blood vessels. C) hypercoagulable states. D) venous stasis. - A) ischemia.