A patient with a tension pneumothorax develops severe dyspnea, hypotension and tracheal deviation. Which action is the priority?
Correct answer: A. Call for emergency assistance and prepare for immediate chest decompression
- A. Call for emergency assistance and prepare for immediate chest decompression
- B. Encourage incentive spirometry and reassess in one hour
- C. Place the patient in a flat position and give oral fluids
- D. Apply a warm compress and continue routine observations
Explanation
Tension pneumothorax can rapidly obstruct venous return and cause obstructive shock, so emergency assistance and immediate decompression are required. Airway and breathing compromise take priority over routine respiratory exercises, fluids or comfort measures.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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