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Author Question: A client with a gunshot wound to the chest is suspected as having a tension pneumothorax. What ... (Read 90 times)

kellyjaisingh

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on: Jun 25, 2018
A client with a gunshot wound to the chest is suspected as having a tension pneumothorax. What should the nurse expect to assess for this health problem?
 
  1. High blood pressure
  2. Audible sucking sounds on inspiration
  3. Wheezes in all lung fields
  4. Deviated trachea

Question 2

A client has just been diagnosed with a pulmonary embolism. The nurse anticipates that the physician will order which medication therapy?
 
  1. Antibiotic therapy
  2. Nitroglycerin therapy
  3. Bronchodilator and nebulizer treatments
  4. Heparin therapy


ApricotDream

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: 4

1. High blood pressure is not associated with a tension pneumothorax.
2. Audible sucking sounds are not associated with a tension pneumothorax.
3. Wheezing is not associated with a tension pneumothorax.
4. As air enters the pleural space, it is unable to escape, and accumulates, causing collapse of the lung on the affected side and shifting of the heart, trachea, and esophagus to the unaffected side.

Answer to Question 2

Answer: 4

1. Antibiotics are not used to treat pulmonary emboli.
2. Nitroglycerin is not used to treat pulmonary emboli.
3. Bronchodilators and nebulizer treatments are not used to treat pulmonary emboli.
4. Anticoagulation therapy is initiated to prevent further clotting and embolization.


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Surface Tension Surface Tension
Debridement, or wound cleansing. Debridement, or wound cleansing.
Pattern of chest palpation auscultation & percussion Pattern of chest palpation auscultation & percussion
Chest X-ray. Chest X-ray.
A hot stone placed under the client’s neck. A hot stone placed under the client’s neck.
Client positioned and draped Client positioned and draped
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