A middle-aged adult patient who is diagnosed with pertussis is complaining of right-sided thoracic pain. The nurse recognizes that this patient should be assessed for which conditions?
Select all that apply.
1. pleural effusion
2. pneumothorax
3. pulmonary emboli
4. rib fractures
5. pleurisy
Correct Answer: 2, 4, 5
Complications of pertussis in adolescents and adults, including pneumothorax and rib fractures, may result from increased intrathoracic pressure during prolonged coughing spells. Pleurisy is pain related to inflammation of the pleurae and is usually secondary to another process such as pertussis or rib injury. Pleural effusion is a collection of fluid in the lungs. Pulmonary emboli are clots in the lung and are not a result of pertussis.
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