A patient develops hypotension, distended neck veins, and muffled heart sounds after penetrating chest trauma. Which condition should the nurse suspect?
Correct answer: B. Cardiac tamponade
- A. Tension pneumothorax
- B. Cardiac tamponade
- C. Massive haemothorax
- D. Pulmonary contusion
Explanation
The combination of hypotension, raised venous pressure, and muffled heart sounds is Beck's triad, which suggests cardiac tamponade. Tension pneumothorax can also cause hypotension and neck-vein distension, but usually produces absent breath sounds and tracheal deviation.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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