The nurse cares for a client who has sustained a trauma. While assessing the client, the client begins to exhibit dyspnea, distended neck veins, and tracheal deviation to the left side. What condition does the nurse expect?
A) A right tension pneumothorax
B) A left open pneumothorax
C) A bilateral hemothorax
D) A flail chest
A) A right tension pneumothorax
Explanation: A) The client's symptoms are consistent with a right tension pneumothorax, as the trachea is deviating to the unaffected side. Dyspnea, distended neck veins, and tracheal deviation to the left side are not characteristic of a left open pneumothorax, a bilateral hemothorax, or a flail chest.
B) Dyspnea, distended neck veins, and tracheal deviation to the left side are not characteristic of a left open pneumothorax since the trachea deviates to the unaffected side.
C) Dyspnea, distended neck veins, and tracheal deviation to the left side are not characteristic of a bilateral hemothorax, or a flail chest due to the laterality and presence of the deviated trachea.
D) Dyspnea, distended neck veins, and tracheal deviation to the left side are not characteristic of a left open pneumothorax, a bilateral hemothorax, or a flail chest due to the laterality and presence of the deviated trachea.
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