112 A 53-year-old woman comes to the emergency department because of sharp, pleuritic right chest pain forthe past 2 hours. She was treated with mediastinal radiation therapy for Hodgkin disease 20 years agoPhysical examination shows no other abnormalities. A CT scan of the chest is shown. The abnormal airseen in this image is most likely located between which of the following tissue layers?000OA) Endothoracic fascia and rib cageOB) Parietal pleura and endothoracic fasciaC) Parietal pleura and parietal pericardiumOD) Visceral and parietal pleuraE) Visceral pleura and lung parenchyma

Question is related to medical surgical nursing Solution given below step Pleurisy pain is -sharp…

Answered: 112 A 53-year-old woman comes to the…

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter22: Chest Tubes

Section: Chapter Questions

Problem 1SEPT

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History of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLAN
The image above is a CT scan of the chest. d) Explain how this image is produced. e) In what circumstances would it be useful to carry out a CT scan rather than a standard chest X-ray?
Which finding indicates a potential complication in a patient with a lower leg cast? a) Mild swelling of the toes b) Capillary refill less than 2 seconds c) Complaints of numbness and tingling in the toes d) Warmth and dryness over the casted area
A 4 yo boy presents to the pediatrician with a head cold and history of chronic ear infections. He's put on prophylactic antibiotics. Mom also mentions a history of bleeding diathesis. A. What other history questions should the MD ask? B. What tests should the pediatrician order on this child to follow up on bleeding history? C. Why?
Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?
c) The image is a standard chest X-ray. Explain the difference in appearance of the image at A and B
A 50-year-old female presents with a C/C of pain in her abdomen. The patient had pain upon palpation of the abdomen. Standard x-rays were negative.(a) What other types of radiographic diagnostic studies can or are usually performed? (b) What are the advantages of such studies over standard x-rays and is any one study better than the other?
"BL, a 30 year old male, came in with a chief complaint of right foot swelling and redness. Upon interviewing BL, he noted an excruciating pain on the affected site upon waking up this morning, and further disclosed that he and his friends drank lots of beer and tequila last night. Upon inspecting and palpating BL's right foot, you appreciated a significant swelling of the 1st metatarsophalangeal joint which was associated with erythema (redness), warmth, and tenderness (pain). What is the correct diagnosis?" a Osteoarthritis b Rheumatoid arthritis c Gouty arthrtitis d Psoriatic arthritis
What is a Hemibranch?
A patient with a history of myocardial infarction complains of chest pain radiating to the left arm. Which action should the nurse take first? a) Administer oxygen b) Obtain an ECG c) Administer aspirin d) Administer nitroglycerin.
A CST is assisting the surgeon on the midline closure of an episiotomy. The surgeon says, “Something’s wrong, but I can’t identify it.” The CST replies, “I’m worried also. Do you think she might have DIC (disseminated intravascular coagulopathy)?” The surgeon responds, “Why do you think that?” and the CST says, “I’ve seen this before, and the blood doesn’t look right. I placed some of the patient’s blood in a plain test tube 7 minutes ago, and no clot has formed.” The surgeon has the circulator page the attending obstetrician to the room and alerts the anesthesia care provider. The patient became slightly hypotensive, but the quick response of the OR team averted any serious complications. The patient was discharged several days later without further complications. What observation did the CST make that helped the patient in this case? Discuss whether the CSTs response was appropriate in this situation.
Beck's triad is a set of clinical signs associated with: a) Tension pneumothorax b) Cardiac tamponade c) Acute heart failure d) Aortic dissection

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