chpt. 29

during your assessment of a patient with blunt chest trauma you note that the patient has shallow breathing and a paradoxical movement of the left chest wall you should

assist ventilations with bag-valve mask

37 year old male was pinned between a flatbed truck and a loading dock on exam you find bruising to the chest distended neck veins bilaterally diminished breath sounds and bilateral scleral hemorrhaging you should

aggressively manage his airway

the phrenic nerves control the diaphragm and exit the spinal cord at

C3, C4, and C5

you respond to a residence for a 40 year old female who was assaulted by her husband; the scene is safe. upon arrival, you find the patient lying supine on the floor in the kitchen. she is semiconscious with severe labored breathing. further assessment reveals a large bruise to the left anterior chest, jugular venous distention and unilateral absent breath sounds. as your partner is supporting ventilations you should

immediately request ALS support

a simple pneumonthorax

is commonly caused by blunt chest trauma

you arrive at the scene of a major motor vehicle crash. the patient a 50 year old female was removed from her vehicle prior to your arrival. bystanders who removed her state that she was not wearing a seatbelt. the patient is unresponsive tachycardia and diaphoretic. your assessment reveals bilaterally clear and equal breath sounds a midline trachea and collapse jugular veins. you should be most suspicious that

laceration to the aorta

which of the following organs or structures does not reside within the mediastinum

lungs

when a person is lying supine at the end of exhalation, the diaphragm

may rise as high as the nipple line

you have sealed the open chest wound of a 40 year old male who was stabbed in the anterior chest. your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia and is developing cyanosis you should

partially remove the dressing

the ___ nerves control the diaphragm

phrenic

a man called EMS 12 hours after injuring his chest your assessment reveals a flail segment to the right side of the chest the patient is experiencing respiratory distress and his oxygen sat is 78% his breath sounds are equal bilaterally and his jugular veins are normal you should suspect

pulmonary contusion

a patient who presents with profound cyanosis following a chest injury

requires prompt ventilation and oxygenation

patients with chest injuries will often present with

tachypnea

elevation of the rib cage during inhalation occurs when

the intercostal muscles contract

pleural fluid is contained between the

visceral and parietal pleurae