HURST FINAL SCRIPT STUDY GUIDE COMPLETE QUESTIONS AND ANSWERS UPDATED ACCURATE GUARANTEED PASS

HURST FINAL SCRIPT STUDY GUIDE
COMPLETE QUESTIONS AND ANSWERS
UPDATED ACCURATE GUARANTEED PASS

●● Hemothorax/Pneumothorax: This is when.
Answer: blood or air has accumulated in the pleural space and the lung
has collapsed


●● Hemothorax/Pneumothorax: Signs/Symptoms include.
Answer: -SOB
-increased HR
-diminished breath sounds on the affected side
-less movement on the affected side
-chest pain
-cough
-subQ emphysema


●● Hemothorax/Pneumothorax Signs/Symptoms: What will should up
on the x-ray?.
Answer: air or blood

,●● Hemothorax/Pneumothorax Signs/Symptoms: What is subcutaneous
emphysema?.
Answer: air trapped in the tissue (usually neck, face, and chest)


●● RULE: NEVER _________________ a penetrating object.
Answer: pull out


●● Hemothorax/Pneumothorax: Treatment includes.
Answer: -thoracentesis
-chest tube
-daily chest x-ray


●● Tension Pneumothorax: Can be caused by.
Answer: -trauma
-too much PEEP
-clamping a chest tube
-insertion of central venous lines
-taping an open pneumothorax on all 4 sides without an air valve


●● Tension Pneumothorax: This occurs when.
Answer: pressure has built up in the chest/pleural space and has
collapsed the lung which then causes mediastinal shift

,●● Tension Pneumothorax: What is mediastinal shift?.
Answer: when pressure pushes everything to the opposite side


●● Tension Pneumothorax: Signs/Symptoms include.
Answer: -subQ emphysema
-absence of breath sounds on one side
-asymmetry of thorax
-respiratory distress
-cyanosis
-distended neck veins, or JVD


●● Tension Pneumothorax: JVD is a medical emergency and can be fatal
as.
Answer: accumulating pressure compresses vessels leading to decreased
venous return resulting in decreased CO


●● Tension Pneumothorax: Treatment includes.
Answer: -large bore needle
-treating the cause (chest tube will be inserted)


●● Tension Pneumothorax Treatment: Large bore needle is placed into
the _________________________ (by the primary healthcare provider)
to _______________________________.

, Answer: 2nd intercostal space; allow excess air to escape


●● Open Pneumothorax: AKA.
Answer: sucking chest wound


●● Open Pneumothorax: This is an.
Answer: opening through the chest that allows air into the pleural space


●● Open Pneumothorax: Treatment includes.
Answer: -have client inhale, Valsalva or hummmmmmm
-place petroleum gauze over the area
-have client sit up (if possible) to expand lungs


●● Open Pneumothorax Treatment: Having the client inhale, Valsalva or
hummmmmmm is done to.
Answer: increase the intra-thoracic pressure so no more outside air can
get into the body


●● Open Pneumothorax Treatment: When placing a piece of petroleum
gauze over the area, tape down _______ sides and the
_______________ acts like a ________________ or _______________.
Answer: 3; 4th side; air vent; flutter valve