Practice Question
A client arrives to the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the dent from
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Correct Answer:
Chest tube insertion.
Rationale:
🌟 Absent breath sounds on one side with increasing dyspnea following trauma suggests a pneumothorax or hemothorax, where air or blood has accumulated in the pleural space and collapsed the lung.
🌟 The immediate treatment is chest tube insertion, which drains the air (pneumothorax) or blood (hemothorax), re-expands the lung, and restores ventilation.
🌟 Bronchoscopy is used for airway obstruction or foreign body removal, not for pleural space collapse.
🌟 Pulmonary function tests are outpatient diagnostic studies, not appropriate for acute emergency management.
🌟 Endotracheal intubation may be required if the client cannot maintain oxygenation, but the priority is to re-expand the lung via chest tube.
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This question is from HESI RN Med-Surg Fall 2024. which contains 40 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4