Which finding would the nurse expect in a patient with a large tension pneumothorax?
A) Diaphragm is lower on the affected side.
B) Diaphragm is lower on the ipsilateral side.
C) Diaphragm is higher on the affected side.
D) Diaphragm is higher on the ipsilateral side.
A) Diaphragm is lower on the affected side.
Explanation: A) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
B) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
C) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
D) With a large tension pneumothorax, the diaphragm is lower on the affected side, and a mediastinal shift with tracheal deviation away from the pneumothorax may be evident with an increased expansion of the contralateral chest wall.
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