Respiratory. Case study# 1

Welcome to your Respiratory. Case study# 1

Question 1 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier that day, he was involved in a vehicular accident where the steering wheel of his car struck his chest.
Based on the presented clinical features and history, what diagnostic characteristics should the nurse recognize as indicative of a possible chest injury?

Increased vocal fremitus on the left side.

Hyperresonance upon percussion on the right side.

Decreased tactile fremitus on the left side.

Vesicular breath sounds throughout the chest.

Jugular vein distension.

Tracheal deviation towards the right.

Crackles on the lower right lung field.

Question 2 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier that day, he was involved in a vehicular accident where the steering wheel of his car struck his chest.
Considering Juan's clinical situation, what are the top nursing priorities in caring for him immediately after his admission?

Question 3 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier that day, he was involved in a vehicular accident where the steering wheel of his car struck his chest.
Juan has a chest tube inserted. When monitoring the water-seal chamber of the chest drainage system, what should the nurse expect to see?

Continuous bubbling.

No fluctuation with respiration.

Tidaling with respiration.

A steady rise of water in the chamber.

Absence of any fluid.

Blood clots moving up and down.

A clear, amber-colored fluid.

Question 4 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier that day, he was involved in a vehicular accident where the steering wheel of his car struck his chest.
Physical assessment reveals a contusion over the sternum, decreased breath sounds on the left side, and obvious distress in breathing.
Juan has a chest tube inserted.
What observation indicates that the chest tube is functioning properly in the collection chamber?

There's continuous bubbling.

The fluid level remains constant.

There's a sudden increase in drainage.

The fluid is clear and yellowish.

Drainage doesn't exceed 100 ml/hr.

Blood clots are present in the drainage.

There's no fluctuation with respiration.

Question 5 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier that day, he was involved in a vehicular accident where the steering wheel of his car struck his chest. Physical assessment reveals a contusion over the sternum, decreased breath sounds on the left side, and obvious distress in breathing.
To evaluate the effectiveness of the treatment, which assessment finding would indicate improvement in Juan's condition?

Increased heart rate.

Decreased respiratory rate.

Increased breath sounds on the left.

Trachea moved to the left.

Continuous bubbling in the water-seal chamber.

Increased sensations at the tube insertion site.

Paleness and cool skin.

Question 6 of 6 Resp CS1

Juan, a 25-year-old male, is admitted to the emergency department with acute chest pain. Earlier this week, he was involved in a vehicular accident where the steering wheel of his car struck his chest. Now his vital signs have improved
Upon discharge, which instruction is appropriate and which is not for Juan to follow at home?

	Appropriate	No appropriate
Drink at least 3 liters of water daily.
Remove the dressing over the chest tube site daily.
Report any increased pain, fever, or shortness of breath.
Drive as soon as he feels better.
Lift heavy objects to strengthen the chest muscles.
Take deep breaths and hold for 30 seconds.
Shower without covering the chest tube site.