The nurse is working in the Emergency Department and is assessing the client who is experiencing paradoxic movements of the right lung. The nurse should further assess the client for:
1. apnea.
2. heart failure.
3. rib fractures.
4. contusion.
Answer: 3
1. The client with flail chest will experience dyspnea.
2. Heart failure is not a result of flail chest.
3. Rib fractures often cause flail chest, which causes paradoxic movement of the lung during breathing.
4. A contusion is bruising, and does not result in paradoxic movement of the chest.
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