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Author Question: A patient presents moderately short of breath and dyspneic A chest radiographic examination ... (Read 37 times)

burton19126

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on: Jun 25, 2018
A patient presents moderately short of breath and dyspneic
 
  A chest radiographic examination reveals a large right pleural effusion with significant atelectasis. The physician or nurse practitioner would be most likely to order which of the following procedures?
 
  a. Thoracentesis
  b. Bronchoscopy
  c. Ventilation/perfusion (V/Q) scan
  d. Repeat chest radiograph

Question 2

The incidence of rebleeding after a ruptured cerebral aneurysm is highest during which of the following time periods?
 
  a. First 24 hours
  b. 4 to 12 days
  c. 3 to 4 weeks
  d. 3 to 6 months


AaaA

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Reply #1 on: Jun 25, 2018
Answer to Question 1

A
Thoracentesis is a procedure that can be performed at the bedside for the removal of fluid or air from the pleural space. It is used most often as a diagnostic measure; it may also be performed therapeutically for the drainage of a pleural effusion or empyema. No evidence is present that would necessitate a V/Q scan. A bronchoscopy cannot assist in fluid removal. A problem with this chest radiograph is not indicated.

Answer to Question 2

A
Rebleeding is the occurrence of a second subarachnoid hemorrhage in an unsecured aneurysm or, less commonly, an arteriovenous malformation. The incidence of rebleeding during the first 24 hours after the first bleed is 4, with a 1 to 2 chance per day for the following month. Mortality with aneurysmal rebleeding is approximately 70.


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burton19126

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Reply #2 on: Jun 25, 2018
Thank you :)


AaaA

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Reply #3 on: Jun 25, 2018
Happy to help you


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