Practice Question
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Administer oxygen via nasal cannula.
Rationale:
🔴 Immediate oxygen administration helps stabilize oxygenation in clients with open chest injuries.
🔴 It supports tissue perfusion while preparing for definitive interventions like chest tube insertion.
🔴 Sucking chest wounds compromise ventilation by allowing air into the pleural space, creating a pneumothorax.
🔴 Oxygen helps reduce hypoxia and prevents respiratory failure, especially with RR 40/min.
🔴 Prompt oxygenation can be lifesaving while other emergency actions are underway.
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This question is from Custom Adult Health 2EX1 which contains 61 questions.
More Questions from This Exam
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Answer Choices:
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Answer Choices:
A. "Drink at least 8 ounces of water when you take the pyrazinamide tablet."
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Answer Choices:
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Answer Choices:
A. Fluctuation of the fluid level within the water seal chamber
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 4
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