Lippencott- Chest Trauma

A client is undergoing a thoracentesis. What should the nurse monitor the client for during and immediately after the procedure? Select all that apply. 1. pnuemothorax 2. subcutaneous emphysema 3. tension pneumothorax 4. pulmonary edema 5. infection

1, 2, 3, 4

For a client with rib fractures and a pneumothorax, the health care provider prescribes morphine 1-2 mg/h, given IV as needed for pain. The nursing care goal is to provide adequate pain control so that the client can breathe effectively. Which finding indicates the goal has been met? 1. pain rating of 0 to 2 on a scale of 0 to 10 by the client 2. decreased client anxiety 3. respiratory rate of 26 breaths/min 4. PaO2 of 70 mm Hg

1. pain rating of 0 to 2 on a scale of 0 to 10 by the client

A client has been in an automobile accident, and the nurse is assessing the client for possible pneumothorax. What finding should the nurse immediately report to the healthcare provider? 1. sudden, sharp chest pain 2. wheezing breath sounds over affected side 3. hemoptysis 4. cyanosis

1. sudden, sharp chest pain

A client undergoes surgery to repair lung injuries. Postoperative prescriptions include the transfusion of the one unit of packed red blood cells at a rate of 60 mL/h. How long will this transfusion take to infuse. 1. 2 hours 2. 4 hours 3. 6 hours 4. 8 hours

2. 4 hours

A young adult is admitted to the emergency department after an automobile accident. The client has severe pain in the right chest from contact with the steering wheel. What should the nurse do best? 1. reduce the client's anxiety 2. maintain adequate oxygenation 3. decrease chest pain 4. maintain adequate circulating volume

2. maintain adequate oxygenation

A client with a rib fracture and a pneumothorax has a chest tube inserted that is connected to a water seal chest tube drainage system. The nurse notes that the fluid in the water seal column is fluctuating with each breath that the client takes. What is the significance of this fluctuation? 1. an obstruction is present in the chest tube 2. the client is developing subcutaneous emphysema 3. the chest tube system is functioning properly 4. there is a leak in the chest tube system

3. The chest tube system is functioning properly

A nurse should interpret which finding as an early sign of a tension pneumothorax in a client with chest trauma? 1. diminished breath sounds 2. muffled heart sounds 3. respiratory distress 4. tracheal deviation

3. respiratory distress