Which of the following statements is false regarding the recognition and treatment of a tension pneumothorax as seen on the chest radiograph?
a. The hemidiaphragm on the affected side will be pushed downward.
b. The mediastinum will be pushed toward the unaffected side.
c. It requires immediate insertion of a chest tube.
d. The patient should be intubated.
ANS: D
A tension pneumothorax is suggested on chest films when the hemidiaphragm is pushed down inferiorly or when the mediastinum is shifted toward the opposite lung. A tension pneumothorax requires immediate decompression with a chest tube or Heimlich valve.
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