Thoracic Trauma N180 Stokke

6 Questions | By KimW1234 | Updated: Mar 21, 2022 | Attempts: 123

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Questions and Answers

1.

Thoracic trauma can be described as ______________________.
- A.
  
  Any trauma to the thorax
- B.
  
  Only trauma to the thorax that alters the mechanics of breathing and gas exchange
- C.
  
  Only trauma to the thorax that results in a pneumo/hemothroax
2.

All of the following are examples of blunt trauma (in regards to Thoracic Trauma) EXCEPT:
- A.
  
  Sucking chest wound
- B.
  
  Rib fracture
- C.
  
  Flail chest
- D.
  
  Contusions of the heart of lung
3.

CHECK ALL THAT APPLY: Which of the following may be signs and symptoms of Thoracic Trauma?
- A.
  
  Chest pain
- B.
  
  Pneumonia
- C.
  
  Shallow breathing
- D.
  
  Tachypnea
- E.
  
  Unequal chest expansion
- F.
  
  Crepitus
- G.
  
  Fremitus
- H.
  
  Tachycardia
- I.
  
  Paradoxical movement of the chest wall
4.

When positioning a patient with a UNILATERAL lung disease (i.e. pneumothorax) it is important to remember to _______________________________.
- A.
  
  Position the good lung up, so ventilation is supported (air, so O2, rises).
- B.
  
  Position them on their back, with the HOB at 45 degrees because it allows chest expansion and decreases the pressure on the diaphragm.
- C.
  
  Position the good lung down, because perfusion will be supported by gravity.
5.

When positioning a patient with ARF, it is important to remember __________________________.
- A.
  
  To elevate the HOB at 45 degrees because it allows chest expansion and decreases the pressure on the diaphragm.
- B.
  
  To switch from supine to prone about 3 times a day for about 30 minutes to allow for best perfusion and ventilation of alveoli in dependent areas of the lung.
- C.
  
  To switch from side to side to help in loosening the mucus and expectoration.
6.

When positioning a patient with ARDS, it is important to remember __________________________.
- A.
  
  To elevate the HOB at 45 degrees because it allows chest expansion and decreases the pressure on the diaphragm.
- B.
  
  To switch from supine to prone about 3 times a day for about 30 minutes to allow for best perfusion and ventilation of alveoli in dependent areas of the lung.
- C.
  
  To switch from side to side to help in loosening the mucus and expectoration.