A patient with a chest injury suddenly develops severe dyspnoea, absent breath sounds on the right, distended neck veins, and tracheal deviation. Which action should the nurse take first?
Correct answer: B. Prepare for immediate needle decompression
- A. Place the patient in a flat supine position
- B. Prepare for immediate needle decompression
- C. Apply an abdominal binder firmly
- D. Encourage deep breathing and coughing
Explanation
These findings indicate tension pneumothorax, which causes life-threatening obstructive shock by compressing the lung and major vessels. Immediate needle decompression followed by chest-tube management is required; definitive imaging must not delay treatment.
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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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