While caring for a client who was injured in a motor-vehicle crash and reports dyspnea and severe pain, a nurse in the emergency department notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?

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Question 1 of 9

While caring for a client who was injured in a motor-vehicle crash and reports dyspnea and severe pain, a nurse in the emergency department notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?

Correct Answer: B

Rationale: The correct answer is B: Flail chest. Flail chest occurs when a segment of the rib cage is detached from the rest of the chest wall, causing paradoxical chest movement. In this case, the inward movement during inspiration and outward bulging during expiration are classic signs of flail chest, as the detached segment moves in the opposite direction of the rest of the chest wall. Atelectasis (choice A) refers to collapsed lung tissue, not paradoxical chest movement. Hemothorax (choice C) is the accumulation of blood in the pleural space, which does not cause paradoxical chest movement. Pneumothorax (choice D) is the presence of air in the pleural space, which can cause chest pain and dyspnea but does not result in paradoxical chest movement.

Question 2 of 9

Identify the five rights of delegating nursing care (select all that apply).

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

Which is a maladaptive coping mechanism for a client with stress?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

What nursing measure would be most helpful in obtaining Mr. Smith’s compliance with treatment?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

What is a long and healthy life dependent upon?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

You are caring for a patient with Sophaged cancer. Which task could be delegated to the nursing assistant?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

A 43-year-old man came to the ED reporting that for short periods of time he feels detached from his body and sometimes he feels like he is floating. The patient states he had not taken any drugs and his drug toxicology test results are negative. What is your best response?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

Which vitamin does a client lack if there is a problem with the absorption of calcium?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

Before administering oxygen to a patient, what should the nurse initially do?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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