A client just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries. The nurse assessment reveals absent breath sounds in the left lung field
A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals a. a shift to the right. c. no deviation.
b. a shift to the left. d. subcutaneous emphysema.
A
With a pneumothorax, the trachea shifts to the opposite side of the problem; with atelectasis, the trachea shifts to the same side as the problem. Subcutaneous emphysema is more commonly related to a pneumomediastinum and is not specifically related to the trachea but to air trapped in the mediastinum and general neck area.
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