A patient arrives in the ED after an automobile accident. Which of the following clinical manifestations lead the nurse to suspect a pneumothorax? Select all that apply
A)
Respiratory rate 34
B)
Asymmetrical chest movements, especially on inspiration
C)
Diminished breath sounds over the painful chest area
D)
Pulse oximetry 98%
E)
ABG pH level of 7.38
Ans:
A, B, C
Feedback:
Manifestations of pneumothorax include increase in respiratory rate, dyspnea, asymmetrical movements of the chest wall, especially during inspiration, hyperresonant sound on percussion, and decreased or absent breath sounds over the area of pneumothorax. The pulse oximetry reading is normal. ABG pH level of 7.38 is a normal finding.
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