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- Which of the following interventions should the nurse prioritize when caring for a patient with a suspected tension pneumothorax? a) Administering supplemental oxygen b) Administering intravenous fluids c) Performing needle decompression d) Assisting with chest tube insertion.A client fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include a) hyperactive bowel sounds. b) elevated temperature and presence of erythema at incision site. c) ecchymosis and edema at incision site. d) complaints of activity intolerance. asap please.The nurse knows that an antitussive cough medication would be the best choice for which patient? a) A patient with a productive coughb )A patient with chronic paranasal sinusitisc )A patient who has had recent abdominal surgeryd) A patient who has influenza
- For a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the dayA patient presents to the emergency department with a suspected abdominal aortic aneurysm (AAA). The nurse assesses the patient for which classic manifestation of AAA? a) Pulsatile abdominal mass b) Hematuria and flank pain c) Absence of bowel sounds d) Hypoactive deep tendon reflexesA patient presents to the emergency department with a suspected pneumothorax. The nurse assesses the patient for which classic signs and symptoms of pneumothorax? a) Hypertension and tachycardia b) Hyperresonance to percussion and decreased breath sounds on the affected side c) Bradycardia and diminished bowel sounds d) Cyanosis and elevated temperature
- The nurse is giving a cholinergic-blocking drug and will assess the patient for which contraindications to these drugs?a) Chronic bronchitisb) Peptic ulcer diseasec) Irritable bowel syndromed) Benign prostatic hyperplasiaWhen administering niacin, the nurse needs to monitor for which adverse effect? a )Cutaneous flushingb )Muscle painc )Headached )ConstipationA patient in the ICU develops septic shock. The nurse monitors the patient for signs of organ dysfunction, including: a) Bradycardia and hypotension b) Increased urine output and improved mental status c) Hyperglycemia and tachypnea d) Hypoxemia, oliguria, and altered mental status
- Which finding indicates a potential complication in a patient with a lower leg cast? a) Mild swelling of the toes b) Capillary refill less than 2 seconds c) Complaints of numbness and tingling in the toes d) Warmth and dryness over the casted area8) How would you know whether or not this patient is experiencing an anaphylactic reaction? A) Low blood pressure B) Itching C) Respiratory Distress D) Both A and CWhat is the primary treatment for a tension pneumothorax? A) High-flow oxygen therapy B) Immediate needle decompression C) Rapid fluid administration D) Emergency thoracotomy