Pneumothorax for Certified Emergency Nursing (CEN)

Which finding would be least useful in evaluating recurrence of a pneumothorax?

A 26-year-old man diagnosed with spontaneous pneumothorax is being monitored in the holding room overnight. Because the patient had limited symptoms and lung involvement, decompression of the pleural cavity was not initiated. Which assessment finding should the nurse report immediately to the physician?

A 64-year-old man with emphysema is admitted to the ED because of a sudden attack of dyspnea. Auscultation reveals no breath sounds over the right lung. The physician diagnoses spontaneous pneumothorax and inserts a chest tube. The patient’s chest tube is ordered to be on suction, at -20 cm of water pressure. When checking the chest tube drainage system at the start of the shift, the nurse notices continuous bubbling in the suction chamber. The nurse correctly interprets this to mean:

The nurse knows that an increase in negative pressure inside the pleural space will result in:

The nurse’s discharge instructions for a patient with a rib contusion and a minor rib fracture include information on the need to report fever, dyspnea on exertion, sputumproduction, or chest pain should any of these symptoms occur. These symptoms are indicative of:

Development of sudden subcutaneous emphysema and a crunching or crackling sound associated with auscultation of the apical heart rate is indicative of:

Which signs and symptoms are characteristic of tension pneumothorax?

After thoracotomy for a tension pneumothorax, the patient’s condition does not improve despite assisted ventilation with 100% oxygen and rapid infusion of crystalloids. Which other condition causes similar symptoms?

A patient is status post insertion of a chest tube for pneumothorax, now has a well expanded lung, and the chest tube is positioned to allow for water-seal drainage without suction. The nurse should anticipate that the water-seal level would:

A paramedic radios data to the base station regarding the status of a 64-year-old man who is showing signs and symptoms of an acute tension pneumothorax after involvement in an automobile accident. The paramedics are instructed to perform a needle thoracotomy. The nurse anticipates that the paramedic will correctly insert the needle: