Question

Q1. A client with a chest injury has suffered a flail chest. The nurse assesses the client for which most distinctive sign of flail chest?

A. Cyanosis

B. Dyspnea, especially on exhalation

C. Hypotension

D. Paradoxical chest movement

Q2. A 59 -year-old client with a history of deep vein thrombosis suffered a massive pulmonary embolism. Which of the following would be found in the patient?

A. Hypoventilation

B. hyperventilation

C. Bradycardia

D. Chest pain on exertion

Q3. The nurse instructs a client to use the pursed-lip methods of breathing and the client asks the nurse about the purpose of this type of breathing. The nurse responds knowing that the primary purpose of purse-lip breathing is to promote which outcome?

A. Promote oxygen intake

B. Strengthen the diaphragm

C. Strengthen the intercostal muscles

D. Promote carbon dioxide elimination

Q4. The emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. Which finding would indicate the presence of a pneumothorax in this client?

A. A suckling sound at the site of injury

B. Diminished breath sounds

C. The presence of a barrel chest

D. A low respiratory rate

Answer 1

1. Paradoxical chest movement can be seen in a client with flail chest. It is mostly seen in rib fractures where part of the rib gets detached from the rib cage and the movements of the fractured rib can be distinguished. Option D is the correct answer.

2. Chest pain on exertion is seen in the client suffering from a pulmonary embolism. Option D is the correct answer.

3. The pursed-lip method of breathing promotes maximum exhalation and open the air passages. This promotes carbon dioxide elimination. Option D is the correct answer.

4. Diminished breath sounds, shortness of breath and chest pain is seen in blunt injury and indicates pneumothorax. Option B is the correct answer.