A patient with chest trauma suddenly becomes severely breathless, hypotensive and restless. Breath sounds are absent on the right side, and the trachea appears displaced to the left. Which action is the priority?
Correct answer: A. Administer high-concentration oxygen and call for immediate decompression
- A. Administer high-concentration oxygen and call for immediate decompression
- B. Place the patient flat and reassess after fifteen minutes
- C. Encourage coughing to clear possible airway secretions
- D. Start oral fluids while awaiting a chest radiograph
Explanation
These findings strongly suggest tension pneumothorax, which can rapidly obstruct venous return and cause shock. Oxygen and urgent preparation for chest decompression are required, and treatment must not wait for a radiograph.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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