Author Question: The nurse is caring for a client who experienced a flailed chest injury (multiple rib fractures) as ... (Read 67 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
The nurse is caring for a client who experienced a flailed chest injury (multiple rib fractures) as a result of a motorcycle accident.
 
  The nurse realizes that pain management for this client will directly impact the effectiveness of his respiratory functioning primarily because:
  1. Pain increases metabolic needs, thus increasing oxygen consumption
  2. Pain increases emotional distress, which can lead to hyperventilation
  3. Pain will decrease the client's motivation to deep breathe, contributing to shallow, diminished inspirations
  4. Pain will decrease the client's ability to both relax and recuperate, thus extending the period of recovery

Question 2

The nurse suspects that a 59-year-old client has experienced angina pectoris. Which of the fol-lowing assessment questions will most likely produce information that will assist in the diagno-sis?
 
  1. How long did the pain last?
  2. Can you describe the pain for me?
  3. Did the pain radiate into your left arm?
  4. What were you doing when the pain started?



spencer.martell

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

ANS: 3
Chest wall trauma and upper abdominal incisions decrease chest wall movement as the client uses shallow respirations to minimize chest wall movement to avoid pain.

Answer to Question 2

ANS: 1
Unlike the pain resulting from a myocardial infarction, anginal pain usually lasts from 1 to 15 minutes. The remaining questions could also relate to cardiac pain from other origins.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

For a complete list of videos, visit our video library