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Exam NCLEX-PN topic 4 question 79 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 79
Topic #: 4
[All NCLEX-PN Questions]

Which of the following needs immediate medical attention and emergency intervention? The client who:

  • A. complains of sharp pain upon taking a deep breath and excessive coughing.
  • B. exhibits yellow, productive sputum, lowgrade fever, and crackles.
  • C. has a shift of the trachea to the left, with no breath sounds on the right.
  • D. has asthma and complains of an inability to catch her breath after exercise.
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Suggested Answer: C 🗳️
Choice 3 is indicative of a tension pneumothorax, which is considered a medical emergency. The respiratory system is severely compromised and venous return to the heart is affected. The mediastinal shift is to the unaffected side. Choice 1 contains symptoms of pleurisy, and Choice 2 lists symptoms of bronchitis. Neither are emergencies. The client in Choice 4 should expect difficulty breathing after exercise when asthma is an existing condition and might need immediate attention if his rescue inhaler is ineffective. Physiological Adaptation
by [deleted] at March 10, 2025, 5:39 a.m.

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