Chapter 25 - Pnemothroax, Hemothroax, And Flail Chest

Question 1

A nurse is assessing a client following a gunshot wound to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? (Select all that apply)
A. Tachypnea
B. Deviation of the trachea 
C. Bradycardia 
D. Decreased use of accessory muscles 
E. Pleuritic pain

Answer 1

A. Tachypnea
B. Deviation of the trachea
E. Pleuritic pain

Question 2

A nurse is assisting the provider to care for a client who has developed a spontaneous pneumothorax. Which of the following actions should the nurse perform first?
A. Assess the clients pain
B. Obtain a large-bore IV needle for decompression
C. Administer lorazepam
D. Prepare for chest use insertion

Answer 2

B. Obtain a large-bore IV needle for decompression

Question 3

A nurse is reviewing discharge instructions for a client who has COPD and experienced a pneumothorax. Which of the following statements should the nurse include?
A. Notify your provider if you experience weakness
B. You should be able to return to work in 1 week
C. You need to wear a mask when in a crowded area
D. Notify your provider if you experience a productive cough

Answer 3

D. Notify your provider if you experience a productive cough

Question 4

A nurse in the emergency department is assessing a client who has sustained multiple rib fractures and has a flail chest. Which of the following findings should the nurse expect? (Select all that apply)
A. Bradycardia
B. Cyanosis 
C. Hypotension 
D. Dyspnea 
E. Paradoxical chest movement

Answer 4

B. Cyanosis
C. Hypotension
D. Dyspnea
E. Paradoxical chest movement