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Rasmussen College MDC 4 Exam 2 Study Guide Questions and Answers (Verified Answers)
1.Clinical manifestations of a pneumothorax include:
A.Fever B.Diminished breath sounds C.Paradoxical chest movement D.Decrease urinary output
: B. Diminished breath sounds
-also asymmetry 2.Pneumothorax S/S
: -decrease asymmetry in chest expansion
-diminished breath sounds in the affected side -respiratory distress (tachypnea, tachycardia, hypoxia, cyanosis, SOB, & use of accessory muscles) -subcutaneous emphysema (air accumulating in subcutaneous
tissue) Tx:
chest tube 1 / 4
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3.Tension pneumothorax clinical manifestations: -trachea deviation to
the un- affected side Tx
: needle thoracotomy or needle decompression
4.What respiratory problem has paradoxical chest movement at clinical man- infestation
: -flail chest (when pt. inhales the good side goes out & the bad side
goes in, like a see saw) 5.Tx for flail chest....
: intubate mechanical ventilator & PEEP
6.Who would have a decrease urinary output as a clinical manifestation
: hy- povolemia shock
7.Flail chest S/S
: -unequal chest expansion (unaffected side of the chest expand, the
affected side appear to diminish in size or remain stationary) 2 / 4
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-paradoxical chest wall mov.-tachycardia -HpoTN -SOB -cyanosis -anxiety -chest pain
8.Uncomplicated rib fracture the main problem is....: -PAIN
-teach them to splint when need to cough to try to minimize the pain
9.Tracheal deviation is a clinical manifestation of:
A.rib fracture B.tension pneumothorax 3 / 4
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C.ARDS
D.septic shock
: B. tension pneumothorax
10.Clinical manifestations of ARDS
: -refractory hypoxemia
-bilateral pulmonary edema non-cardiac related (crackles upon auscultation) -reduced lung compliance -glass ground appearance in the x-ray -SOB 11.ARDS Tx
: -prone positioning
-PEEP 12.Complications of PEEP
: -pneumothorax
-low BP
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