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concept of nursing 1
Chest Trauma
| Question | Answer |
|---|---|
| he type of chest trauma to its corresponding clinical manifestations. | -- |
| A puncture chest wound, labored breathing, and mediastinal shift. | Tension pneumothorax |
| Mild dyspnea and small decrease in one lung space at the apex. | Spontaneous pneumothorax |
| Hemoptysis, respiratory distress, and fluid in the pleural cavity. | Hemothorax |
| uncoordinated chest movement severe dyspnea, and areas of chest pain. | Flail chest |
| A patient presents with a heart rate of 105 beats per minute, a respiratory rate of 25 breaths per minute, and oxygen saturation of 90%. Additionally, the patient complains of chest pain. On assessment, | -- |
| the chest is intact and auscultation reveals decreased breath sounds over the apex of right lung. What is the likely physiologic reason for the patient’s signs and symptoms? | Spontaneous pneumothorax |
| A patient is diagnosed with a secondary spontaneous pneumothorax and asks the nurse “How could this have happened?” What is the best response by the nurse? | “Your chronic bronchitis resulted in the development of air-filled blisters in the lung which then ruptured.” |
| Paradoxical chest movement, on oxygen but having rapid decompensation | Mechanical ventilation |
| Tracheal deviation and respiratory distress | Needle decompression |
| Dyspnea, increased vital signs, and absent lung sounds in the right lower lobe | Chest tube placement |
| Chest tube draining a large amount of blood, tachycardia, and BP 101/62 | IV fluid replacement |
| Which patient situations represent medical emergencies, requiring immediate intervention by the nurse? | -Deviated trachea and increasing dyspnea -Dyspnea and hemoptysis with a chest x-ray indicating fluid in the pleural cavity -The patient is conscious, dyspneic, and splitting the asymmetrical chest movement |
| A patient with chronic obstructive pulmonary disease (COPD) reports to the clinic with tachycardia, dyspnea, and chest pain. A chest x-ray indicates air in the pleural cavity and diminished lung volume. | -- |
| The patient’s chart indicates this is the fourth time the patient has presented with similar symptoms. Which treatment plan is indicated for this patient? | Partial pleurectomy |
Created by:
Lightnning54
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