46. You are called to assess and treat a patient who has suffered a deep, penetrating wound to the central chest and is complaining of difficult and painful swallowing, pleuritic chest pain, and pain radiating to the mid back. Which of the following treatment options would be contraindicated for this patient? A: Intubation. B: Combitube. C: Fluid resuscitation. D: Positive pressure ventilation.
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- Place the following guidelines for teaching a patient effective coughing in the order in which they would be performed: a. Ask the patient to “hack out” for three short breaths. b. Repeat the exercise every 2 hours while awake. c. Place the patient in a semi-Fowler’s position, leaning forward and provide a pillow or bath blanket to splint the incision. d. Ask the patient to cough deeply once or twice and take another deep breath. e. Ask the patient to take a quick breath with mouth open. f. Ask the patient to inhale and exhale deeply and slowly through the nose three times. g. Ask the patient to take a deep breath and hold it for 3 seconds.47. After a motor vehicle accident, Armand a 22-year-old client is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which of the following is the most likely cause of the bubbling? A. Air leak B. Adequate suction C. Inadequate suction D. Kinked chest tube Need detailed and correct answer wrong answer means many downvotes Don't copy from internet I will match ur answer If I found copied I write plagraised answer in comment box11) Which statement is FALSE about chest tube and under water seal? a. It could be used to manage both haemothorax and pneumothorax. b. C. The water bottle should be placed at a lower level than the chest to ensure best drainage. Placement of the chest tube is preferred at the fifth intercostal space with midaxillary line. d. It allows the air to re-inter the chest through the water seal.
- You obtain a SAMPLE history from the health aide which is as follows: S: Terrible cough x 3 days and a temperature of 101° F. Per the health aide, the patient had reported feeling pain when taking a deep breath when she last saw him. A: Shellfish M: Lisinopril, Aspirin, Ventolin Inhaler and Furosemide. P: Hypertension, Chronic Bronchitis, and an AMI 5 years ago. L: Unknown. The health aide reports he refused to eat during her last visit. E: Unknown During your assessment of his lung sounds, you hear rales and rhonchi bi-laterally in all fields. You obtain a full set of vitals which are: RR: 24 breaths per minute, labored and shallow RR: 120 beats per minute, week and regular BP: 68 by palpation Skins: mottled, cool, and clammy Pupils: PERL (sluggish) SpO2 Reading: 92% 1. What conditions or factors lead you to label the patient as critical? 2. How are you going to manage and care for this patient? 3. Based on the history, what type of shock are you suspecting the patient is…A) Intercostal B) Long thoracic Gross Anatomy 124. A 73-year-old man comes to the physician because of a 3-week history of progressive shortness of breath. He is found to have a large right pleural effusion. A diagnostic turacortesis s scheduled. This will entail inserting a needle above the left 10th posterior rib through the parietal pleura. Prior to the procedure, which of the following nerve structures should be anesthetized to reduce the pain associated with piercing the parietal pleura? OC) Phrenic OD) Sympathetic trunk OE) Vagus 18 MA client returns from surgery with a nasogastric tube and intermittent gastric suction to provide abdominal decompression. Which of the following are correct nursing activities for managing the equipment and drainage? Select all that apply. a. When irrigating the nasogastric tube, use sterile water b. Document the consistency and amount of drainage c. Wear sterile gloves when irrigating the nasogastric tube d. Wear nonsterile gloves when emptying the drainage container e. Apply water-soluble lubricant if the client’s lips are dry
- 187. A previously healthy 59-year-old man comes to the emergency department because of a 1-day history of fever, shortness of breath, and productive cough. He appears to be in moderate distress. His temperature is 38.4°C (101.1°F), and respirations are 26/min. Pulse oximetry on room air shows an oxygen saturation of 88%. Bronchial breath sounds are heard over the right lung base posteriorly with egophony and increased tactile fremitus. A chest x-ray shows right lower lobe pneumonia. Which of the following mechanisms is the most likely cause of the hypoxia in this patient? A) Alveolar fibrosis B) Hypoventilation C) Right-to-left cardiac shunt D) Right ventricular failure E) Ventilation-perfusion mismatch 27A client scheduled for bronchoscopy in the morning is anxious and asks the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the HIGHEST priority? A. Allow the client to gargle with warm salt water. B. Administer a sedative to alleviate the anxiety. C. Instruct the client to write down the questions. D. Deny client's request for a midnight snack.What type of artificial tracheal airway should be used for the following clinical situations? If more than one option is indicated, include all appropriate choices with an explanation. A. Patient in cardiac arrest: B: Patient with a suspect C1 fracture: C. 3-year old patient with epiglottis: D. Patient with paralyzed vocal cords:
- 1) You are taking care of a patient with abdominal blunt trauma. Your primary survey requires assessing the circulation. Which of the following components are included in this assessment? a. Oxygen saturation and respiration. b. Blood pressure, pulse, and oxygen saturation. c. Blood pressure and pulse. d. Oxygen saturation and pulse. 2)Your patient with abdominal blunt trauma is prescribed blood transfusion due to internal bleeding. His medical records indicate that his blood type is A Rh-positive. While cross-checking the blood unit with your colleague nurse, you discovered that this unit is O Rh-negative. Your BEST action is to: a. Call the doctor who prescribe the unit to consult him. b. Administer the blood unit. c. Change the blood unit with A Rh-positive. d. Withhold the blood unit.At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing pattern12) A 68-year old male patient has a history of long-term heavy smoking for more than 30 years, a history of chronic bronchitis for 17 years, and dyspnea with progressive aggravation in the past 3 years. Chest x-ray examination showed:The brightness of lung field increased, and the vascular texture around lung field decreased and became fine The patient's lung function test results are most likely to be() A FEV1/FVC40% B FEV1/FVC75%,RV/TLC75%,RV/TLC>40% E RV/TLC>40%,FEV1 accounted for 90% of the estimate