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Practice Question

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

Answer Choices:

Correct Answer:

Absence of breath sounds

Rationale:

💨Pneumothorax occurs when air enters the pleural space, causing lung collapse, which prevents air from moving in and out of the affected area, leading to absent breath sounds on auscultation.

👃This absence is a critical clinical indicator and occurs because the collapsed lung is no longer ventilated, resulting in no breath sounds over the involved lung field.

🚫Inspiratory stridor is typically associated with upper airway obstruction, such as in croup or laryngeal edema, and not with pneumothorax.

🌬️Expiratory wheeze indicates lower airway narrowing, commonly found in conditions like asthma or COPD, rather than pneumothorax.

💦Coarse crackles are bubbling or rattling sounds due to fluid in the airways, often related to pulmonary edema, not pneumothorax.

📌Core message

An absence of breath sounds is a key sign of lung collapse from pneumothorax and requires immediate attention.

Want to practice more questions like this?

This question is from ATI Med- Surg respiratory test polizzoti which contains 49 questions.

More Questions from This Exam
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

Answer Choices:

A. Notify the provider.
B. Verify that the suction regulator is on.
C. Continue to monitor the client because this is an expected finding.
D. Milk the chest tube to dislodge any clots in the tubing that may be occluding it
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?

Answer Choices:

A. Rest in a supine position.
B. Consume a Iow-protein diet.
C. Breathe in through her nose and out through pursed lips.
D. Limit fluid intake throughout the day.
From Exam
ATI Med- Surg respiratory test polizzoti

49 Questions

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Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: MED-SURG Exams (RN ati)
  • Answer Choices: 4
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