A male patient has a sucking stab wound to the chest. Which action should the nurse take first?

Correct Answer: B

Rationale: The correct answer is B. Applying a dressing over the wound and taping it on three sides should be done first to prevent air from entering the wound and causing a tension pneumothorax. This action helps stabilize the wound and minimizes the risk of further complications. Drawing blood for hematocrit and hemoglobin (A) is not the priority in this situation. Chest tube insertion (C) and starting an IV line (D) can be necessary interventions but are not the immediate priority in managing a sucking chest wound.

Correct Answer: A

Rationale: The correct answer is A. A client with suspected tuberculosis is likely to experience fatigue, weight loss, low-grade fevers, and night sweats due to the chronic infection affecting the body. Fatigue and weight loss are common symptoms of active tuberculosis due to the systemic impact of the infection. Low-grade fevers and night sweats are characteristic of tuberculosis due to the body's immune response. These symptoms are key indicators of tuberculosis infection. Choices B, C, and D are incorrect because they describe symptoms that are not typically associated with tuberculosis. Dyspnea, chest pain, and cough (Choice B) are more commonly seen in respiratory conditions such as pneumonia or bronchitis. Rapid shallow breathing, prolonged labored expiration, and stridor (Choice C) are indicative of airway obstruction rather than tuberculosis. Dyspnea, hypoxemia, and decreased pulmonary compliance (Choice D) are more characteristic of conditions such as chronic obstructive pulmonary disease (COPD) rather than tuberculosis.

Correct Answer: C

Rationale: The correct answer is C: Chronic obstructive bronchitis. The term "blue bloater" is a classic descriptor used in the context of chronic obstructive bronchitis. It refers to patients who exhibit cyanosis (blue discoloration of the skin due to lack of oxygen) and are often overweight and edematous. This term is used to differentiate from "pink puffers" who have emphysema. Both conditions are part of chronic obstructive pulmonary disease (COPD), but the "blue bloater" presentation is more characteristic of chronic bronchitis due to the chronic hypoxia and retained carbon dioxide. Now, let's evaluate why the other choices are incorrect: A: Acute respiratory distress syndrome (ARDS) typically presents with severe difficulty breathing and rapid onset of respiratory failure. It is not referred to as a "blue bloater." B: Asthma is characterized by reversible airway obstruction and wheezing, usually triggered by allergens or irrit

Correct Answer: D

Rationale: The correct answer is D because for the integumentary exchange of gases to occur efficiently, the surface of the animal must meet all three criteria: be thin and soft to allow gases to pass through easily, have a high number of blood vessels to facilitate gas exchange, and have a mucus or moist covering to prevent desiccation and aid in gas diffusion. If the surface is not thin and soft, gases cannot diffuse effectively. Without a high number of blood vessels, there wouldn't be sufficient transport of gases to and from the surface. And without a mucus or moist covering, the surface may dry out, hindering gas exchange. Therefore, all of the above factors are essential for the integumentary exchange of gases to function optimally.

Correct Answer: D

Rationale: The correct answer is D because carbon monoxide can indeed arise from cigarette smoke due to incomplete combustion of tobacco. This is supported by scientific evidence. Carbon monoxide has a high affinity for hemoglobin, so choice A is incorrect. It can be transported by the circulatory system, making choice B incorrect. Breathing excessive amounts of automobile exhaust containing carbon monoxide can lead to death, making choice C incorrect.