NCLEX^® QUESTION OF THE WEEK

Question of the Week – March 9, 2022

March 9, 2022

The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse should expect to note which finding?

Show Answer Answer

Correct! The answer is number 4

Rationale:

Rib fractures result from a blunt injury or a fall. Typical signs and symptoms include pain and tenderness localized at the fracture site that is exacerbated by inspiration and palpation, shallow respirations, splinting or guarding the chest protectively to minimize chest movement, and possible bruising at the fracture site. Paradoxical respirations are seen with flail chest.

Additional Info:

Level of Cognitive Ability: Analyzing

Client Needs: Physiological Integrity

Integrated Process: Nursing Process—Implementation

Content Area: Adult Health: Musculoskeletal

Health Problem: Adult Health: Musculoskeletal: Amputation

Priority Concepts: Clinical Judgment; Tissue Integrity

Reference: Lewis et al. (2017), p. 1487.

Practice Question Sourced From: Saunders Comprehensive Review for the NCLEX-RN® Examination, 8th Edition