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A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect?

A.

Friction rub

B.

Decreasing respiratory rate

C.

Increasing dyspnea

D.

Facial flushing

Answer and Explanation

The Correct Answer is C

A. Friction rub: A friction rub is usually associated with pleuritis, not atelectasis. Atelectasis involves the collapse of alveoli and does not produce this sound.

 

B. Decreasing respiratory rate: Atelectasis generally leads to an increased respiratory rate as the body compensates for decreased oxygenation.

 

C. Increasing dyspnea: Increasing dyspnea is common in atelectasis as collapsed alveoli reduce oxygen exchange, leading to shortness of breath and increased respiratory effort.

 

D. Facial flushing: Facial flushing is not typically associated with atelectasis; instead, atelectasis leads to signs of respiratory distress, such as dyspnea and possibly cyanosis.


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View Related questions

Correct Answer is B

Explanation

A. The patient is hypertensive. Hypertension is not a prerequisite for starting BPH medication; in fact, some BPH medications can lower blood pressure.

B. The patient has had a prostate examination, including measurement of the PSA level. A prostate examination and PSA measurement are important for diagnosing BPH and ruling out prostate cancer before starting treatment.

C. The patient is still sexually active. Sexual activity status is not a determining factor for administering BPH medication.

D. The patient has not had a vasectomy. Vasectomy status does not influence the treatment of BPH.

Correct Answer is ["C","D","E"]

Explanation

A. Stimulate production of androgens: The kidneys do not stimulate androgen production. Androgens are produced primarily by the adrenal glands and gonads.

B. Stimulate production of white blood cells: The kidneys do not stimulate white blood cell production. This is mainly a function of the bone marrow.

C. Excrete various drugs and drug metabolites: The kidneys play a key role in filtering and excreting drugs and drug metabolites, helping to remove them from the body.

D. Produce urine: The primary function of the kidneys is to filter blood and produce urine, which is then excreted to remove waste products and maintain fluid balance.

E. Regulate acid/base balance: The kidneys are essential in maintaining acid-base balance by excreting hydrogen ions and reabsorbing bicarbonate, which helps regulate the pH level in the body.

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