Question

1. a nurse is assessing a client who has a tension pneumothorax following blunt chest trauma. which of the following findings should the nurse expect?

a. tracheal deviation to the unaffected side.

b. pleural friction rub.

c. frothy, pink-tinged sputum.

d. increased breath sounds on the affected side.

2. a nurse is teaching a client who has glaucoma and is to start taking timolol. which of the following information should the nurse include?

a. notify the provider if you experience a stinging sensation following administration.

b. watch for a decreased heart rate while using this medication.

c. you can expect to develop a harmless darkening of the iris.

d. this medication can cause the lashes of the affected eye to lengthen.

3. a nurse is initiating a plan of care for a client who has COPD. which of the following interventions should the nurse include?

a. request a prescription for an antibiotic.

b. educate the client on pursed-lip breathing.

c. place the client in airborne precautions.

d. initiate a referral for gene therapy.

Answer 1

QUESTION 1 : A nurse is assessing a client who has a tension pneumothorax following blunt chest trauma.Which of the following findings should the nurse expect?

ANSWER: (a) tracheal deviation to the unaffected side

• Tension pneumothorax refers to the accumulation of air in the pleural space under positive pressure,compromising cardiopulmonary function and displacing mediastinal structures.
• Tension pneumothorax occurs when a chest wall or lung injury which allow air into pleural space but not out of it that means a one way valve.

QUESTION 2: A nurse is teaching a client who has glaucoma and is start talking timolol.Which of the following information should the nurse include?

ANSWER: (b) Watch for a decreased heart rate while using this medication

• Glaucoma refers to the eye disease in which the eye optic nerve is damaged.It is the leading cause of blindness.
• Glaucoma is the main cause of parmanent damage of optic nerve and resultant visual field loss.
• Timolol refers to the medication used as eye drops.It is used to treat pressure which is cause inside the eye such as in ocular hypertension and glaucoma.

QUESTION 3: A nurse is initiating a plan of care for a client who has COPD.Which of the following interventions should the nurse include?

ANSWER: (b) Educate the client on pursed-lip breathing

• COPD refers to the treatable and preventable disease which is characterized by persistent air folw limitation that is usually associated with increased chronic inflammatory response in the airways.
• COPD includes Emphysema, Chronic bronchitis.