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
,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)
,-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
, 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
13. Causes of ARDS
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
,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)
,-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
, 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
13. Causes of ARDS
