When assessing a patient with right-sided closed tension pneumothorax, the nurse would expect to find:
A) the trachea displaced to the right.
B) the trachea displaced to the left.
C) an open chest wound.
D) air exits the chest wall during exhalation.
B) the trachea displaced to the left.
Explanation: A) In a tension pneumothorax, the lung or bronchial injury acts as a one-way valve, allowing air into the pleural space but preventing air from escaping during exhalation. As the air volume in the pleural space increases, the pressure collapses lung tissue and pushes the mediastinum toward the contralateral side.
B) In a tension pneumothorax, the lung or bronchial injury acts as a one-way valve, allowing air into the pleural space but preventing air from escaping during exhalation. As the air volume in the pleural space increases, the pressure collapses lung tissue and pushes the mediastinum toward the contralateral side.
C) With a closed pneumothorax, the chest wall is intact with no defects or open wounds.
D) With a closed pneumothorax, the chest wall is intact with no defects or open wounds.
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