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    Chapter 9 - Thoracic Injuries Questions: Dr. Achmad Faisal, SPBTKV, Fects, Fiha

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    Rifka Anisa
    This document contains 10 multiple choice questions about thoracic injuries. The questions cover topics like life-threatening thoracic injuries that require immediate intervention, signs of tension pneumothorax, management of tension pneumothorax, the definition of flail chest, which trauma patients would most benefit from an emergent thoracotomy, and appropriate nursing interventions for patients with chest tube drainage or rib fractures.

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    Chapter 9 - Thoracic Injuries Questions: Dr. Achmad Faisal, SPBTKV, Fects, Fiha

    Uploaded by

    Rifka Anisa
    395 views12 pages
    This document contains 10 multiple choice questions about thoracic injuries. The questions cover topics like life-threatening thoracic injuries that require immediate intervention, signs of tension pneumothorax, management of tension pneumothorax, the definition of flail chest, which trauma patients would most benefit from an emergent thoracotomy, and appropriate nursing interventions for patients with chest tube drainage or rib fractures.

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    This document contains 10 multiple choice questions about thoracic injuries. The questions cover topics like life-threatening thoracic injuries that require immediate intervention, signs of tension pneumothorax, management of tension pneumothorax, the definition of flail chest, which trauma patients would most benefit from an emergent thoracotomy, and appropriate nursing interventions for patients with chest tube drainage or rib fractures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    395 views12 pages

    Chapter 9 - Thoracic Injuries Questions: Dr. Achmad Faisal, SPBTKV, Fects, Fiha

    Uploaded by

    Rifka Anisa
    This document contains 10 multiple choice questions about thoracic injuries. The questions cover topics like life-threatening thoracic injuries that require immediate intervention, signs of tension pneumothorax, management of tension pneumothorax, the definition of flail chest, which trauma patients would most benefit from an emergent thoracotomy, and appropriate nursing interventions for patients with chest tube drainage or rib fractures.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    CHAPTER 9 –

    Thoracic
    Injuries
    Questions

    Dr. Achmad Faisal, SpBTKV,


    FECTS, FIHA
    1. Which injuries are considered life-
    threatening requiring immediate
    intervention ?
    a. Tension pneumothorax and pericardial
    tamponade
    b. Cardiac contusion and rib fractures
    c. Clavicle racture and pulmonary contusion
    d. Pneumomediastinum and subcutaneous
    emphysea
    2. What is an early sign of tension
    pneumothorax ?

    a. Tracheal deviation
    b. Respiratory distress
    c. Increased cardiac output
    d. Epistaxis
    3. What is the immediate management of
    tension pneumothorax

    a. Chest tube placement in 7th intercostal


    space
    b. Place a theree-sided dressing over chest
    tube site
    c. Needle thoracentesis in 2nd intercostal spase
    d. ED thoracotomy
    4. Flail chest is defined as :

    a. Multiple rib fractures with subsequent


    subcutaneous emphesema
    b. Chyle in the pleural spase
    c. Excess fluid in pericardium
    d. Two or more ribs fracture at two point
    5. Which patient would benefit most from an emergent
    thoracotomy?

    a. 48 year old patient with gunshot wound to the back


    who los vital signs upon arrival to the ED
    b. 12 year old patient with traumatic asphysia with CPR
    in progress for past 15 minutes upon arrival to the
    ED
    c. 16 year old patient with traumatic amputation of arm
    with CPR in progress for 5 minutes
    d. 19 year old patient with stab wound to chest who
    arrived with fixed and dilated pupils
    6. A nasogastric tube was inserted in a trauma
    patient. A follow-up chest tube radiograph
    shows abdominal contenst in the chest tube
    cavity. The nurse should be suspicious of

    a. Diaphragmatic rupture
    b. Chylothorax
    c. Pleural effusion
    d. Tension pneumothorax
    7. What is the most appropriate immediate nursing
    intervention for a patient who has pulled out their
    chest tube?

    a. Restrain patient and place bed in trendelenberg


    position
    b. Cover site with a dressing and contact the physician
    c. Apply oxygen per face mask and other chest x-ray
    d. Monitor for air leaks and report subutaneous
    emphesema
    8. What is a significant nursing
    intervention to reduce morbidity in the
    patient with rib fractures?

    a. Aggressive pulmonary toilet


    b. Monitoring supplemental oxygen
    c. Application of sequential stockings
    d. Administering cough suppresant
    medication
    9. What is the most common medical
    intervention required for patient with thoracic
    trauma?

    a. Chest tube insertion


    b. Thoracotomy
    c. VATS (video-assisted thoracoscopic surgery)
    d. pericardiocentesis
    10. There days post motor vehicle crash, a patient was
    started on a regular diet. The nurse noticed the
    patient’s chest tube drainage changed from serous-
    sanguineous to milky white. The physician order fot the
    fluid to be sent for triglyceride and chylomicron levels.
    The nurse suspects the patient may have:

    a. Thoracic duct injury with chylothorax


    b. Pulmonary contusion with empyema
    c. Retained hemothorax with intersttial bleeding
    d. Persistent air leak with pneumatocele
    Question 1

    How many bones are affected in flail chest ?

    a. 3 pr more
    b. 10 or more
    c. 2 or less
    d. 1

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