Fairly easy

A patient has an open chest wound with a sucking sound during inspiration. Which action should the nurse take first?

Correct answer: A. Apply a sterile occlusive dressing taped on three sides

  • A. Apply a sterile occlusive dressing taped on three sides
  • B. Pack the wound tightly with dry gauze
  • C. Remove any dressing during inspiration
  • D. Place the patient in a prone position

Explanation

A three-sided occlusive dressing limits air entry while allowing trapped air to escape during expiration. A fully sealed dressing can contribute to tension pneumothorax, and packing a chest wound is not the initial treatment.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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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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