Chest Trauma review

Which of the following injuries are considered life-threatening requiring immediate intervention?

• Pneumomediastinum and subcutaneous emphysema

• Clavicle fracture and pulmonary contusion

• Tension pneumothorax and pericardial tamponade

• Pneumomediastinum and subcutaneous emphysema

 

2. What is an early sign of tension pneumothorax?

• Epistaxis

• Tracheal deviation

• Respiratory distress

• Increased cardiac output

What is the immediate management of tension pneumothorax

• Chest tube placement in 7th intercostal space

  d.

• Place a three-sided dressing over chest tube site

  c. Needle thorac

• c. Needle thoracentesis in 2nd intercostal space

• Emergency department (ED) thoracotomy

Flail chest is defined as:

• Chyle in the pleural space

• Excess fluid in pericardium

• Two or more ribs fractured at two points

• Multiple rib fractures with subsequent subcutaneous emphesema

What is the most common medical intervention required for patients with thoracic

trauma?

• Thoracotomy

• Chest tube insertion

• Pericardiocentesis

• VATS (video-assisted thoracoscopic surgery)

The Nurse is caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is appropriate

• Do nothing, because this is an expected finding.

   

   

• Increase the suction pressure so that bubbling becomes vigorous.

• Check for an air leak because the bubbling should be intermittent.

• Immediately clamp the chest tube and notify the physician.

   

An emergency room nurse is assessing a female client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?

• A low respiratory

   

   

   

• The presence of a barrel chest

• Diminished breathe sounds

• sucking sound at the site of injury

A male client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation. A nurse checks the client when the high-pressure alarm on the ventilator sounds and notes that the client has an absence of breathing sounds in the right upper lobe of the lung. The nurse immediately assesses for other signs of:

• Right pneumothorax

   

   

• Pulmonary embolism

• Displaced endotracheal tube

   

• Acute respiratory distress syndrome

A patient is admitted with a chest wound and experiencing extreme dyspnea, tachycardia, and hypoxia. The chest wound is located on the left mid-axillary area of the chest. On assessment, you note there is unequal rise and fall of the chest with absent breath sounds on the left side. You also note a "sucking" sound when the patient inhales and exhales. The patient's chest x-ray shows a pneumothorax. What type of pneumothorax is this known as?

• Closed pneumothorax

• Open pneumothorax

• Tension pneumothorax

• Spontaneous pneumothorax

A patient is admitted with a chest wound and experiencing extreme dyspnea, tachycardia, and hypoxia. The chest wound is located on the left mid-axillary area of the chest. On assessment, you note there is unequal rise and fall of the chest with absent breath sounds on the left side. You also note a "sucking" sound when the patient inhales and exhales. The patient's chest x-ray shows a pneumothorax. which of the following options below is a nursing intervention you would provide to this patient?

• Place the patient in supine position

• . Place a non-occlusive dressing over the chest wound

• Place a sterile occlusive dressing over the chest wound and tape it on three sides

• Prepare the patient for a thoracentesis.