, a rn in an ed is caring for a client who has sustained flail chest
multiple injuries. the rn observes the client's thorax
moving inward during inspiration and outward during Flail chest results from multiple rib fractures that cause instability. The thorax
expiration. the rn should suspect which of the following moves inward with inspiration and outward with expiration. This paradoxical chest
injuries? movement prevents adequate ventilation of the injured lung.
flail chest
hemothroax
pulmonary contusion
pneumothorax
a rn is caring for a client who has a R-sided gentle bubbling in the suction chamber
pneumothorax. following chest tube insertion, which of
the following findings indicates that the chest drainage Bubbling in the suction chamber is expected and indicates that the drainage
system is functioning correctly? system is connected to suction.
gentle bubbling in the suction chamber
crepitus around the insertion site
constant bubbling in the water seal chamber
absence of breath sounds on the right side
a rn is administering a blood transfusion to a client and stop the transfusion
suspects that the client is having an adverse reaction to
the blood. which of the following actions should the The greatest risk to this client is injury from the adverse effects caused by
nurse take first? receiving the blood. Therefore, the first action the nurse should take is to stop the
infusion.
maintain IV access
obtain the clients vitals
contact the provider
stop the transfusion
a rn is planning care for a client who has meniere's provide a low sodium diet
disease and is experiencing epodes of vertigo. which of
the following interventions should the rn include in the Ménière's disease is an inner ear disorder that affects the client's balance. Limiting
plan? sodium in the diet reduces fluid retention, which decreases the manifestations of
the disease.
maintain strict bed rest
restrict fluid intake to the morning hours
administer aspirin
provide a low-sodium diet
multiple injuries. the rn observes the client's thorax
moving inward during inspiration and outward during Flail chest results from multiple rib fractures that cause instability. The thorax
expiration. the rn should suspect which of the following moves inward with inspiration and outward with expiration. This paradoxical chest
injuries? movement prevents adequate ventilation of the injured lung.
flail chest
hemothroax
pulmonary contusion
pneumothorax
a rn is caring for a client who has a R-sided gentle bubbling in the suction chamber
pneumothorax. following chest tube insertion, which of
the following findings indicates that the chest drainage Bubbling in the suction chamber is expected and indicates that the drainage
system is functioning correctly? system is connected to suction.
gentle bubbling in the suction chamber
crepitus around the insertion site
constant bubbling in the water seal chamber
absence of breath sounds on the right side
a rn is administering a blood transfusion to a client and stop the transfusion
suspects that the client is having an adverse reaction to
the blood. which of the following actions should the The greatest risk to this client is injury from the adverse effects caused by
nurse take first? receiving the blood. Therefore, the first action the nurse should take is to stop the
infusion.
maintain IV access
obtain the clients vitals
contact the provider
stop the transfusion
a rn is planning care for a client who has meniere's provide a low sodium diet
disease and is experiencing epodes of vertigo. which of
the following interventions should the rn include in the Ménière's disease is an inner ear disorder that affects the client's balance. Limiting
plan? sodium in the diet reduces fluid retention, which decreases the manifestations of
the disease.
maintain strict bed rest
restrict fluid intake to the morning hours
administer aspirin
provide a low-sodium diet
