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Pneumothorax, hemothorax, flail chest, pulmonary embolism

Total questions: 5

Worksheet time: 8mins

Name
Class
Date
1.

A patient with a hemothorax will most likely present with which symptoms? 

a)

Hypotension, absent breath sounds on the affected side, and JVD

b)

Decreased hemoglobin, decreased breath sounds, and tachycardia

c)

Shortness of breath, paradoxical breathing, and splinting

d)

Dyspnea, arrhythmias, and hypotension

2.

Which of the following actions would be appropriate for the care of a client with flail chest? (Select all that apply) 

a)

Administer morphine to promote adequate respirations

b)

Provide supplemental oxygen

c)

Prepare the client for a chest tube

d)

Take the client for a CT pulmonary angiogram

3.

A nurse is caring for a client who has just returned from the operating room after undergoing a thrombectomy for a pulmonary embolism. Which of the following actions should the nurse take first?

a)

Monitor for signs of bleeding at the surgical site

b)

Encourage early ambulation to prevent further clot formation

c)

Assess oxygen saturation and respiratory status

d)

Administer scheduled anticoagulant therapy

4.

A nurse is caring for a client with a chest tube. Which of the following could indicate a new air leak is noted?

a)

The nurse finds crepitus upon assessment

b)

The nurse notes intermittent bubbling in the water seal chamber

c)

There is new bloody drainage in the chest tube

d)

The client reports pain with breathing

5.

A nurse is caring for a client who suddenly develops severe dyspnea, tachycardia, and tracheal deviation after placement of a central venous catheter. The nurse suspects a tension pneumothorax. Which of the following interventions should the nurse perform first?

a)

Prepare the client for chest tube insertion

b)

Administer ordered lorazepam

c)

Place the client in Trendelenburg position

d)

Administer high-flow oxygen via a non-rebreather mask