A Client Is Admitted To The Emergency Department With A Tension Pneumothorax

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A Client Is Admitted To The Emergency Department With A Tension Pneumothorax

. Which assessment should the nurse expect to identify? A) An absence of lung sounds on the affected side. Feedback: INCORRECT B) An inability to auscultate tracheal breath sounds. Feedback: INCORRECT C) A deviation of the trachea toward the side opposite the pneumothorax. Feedback: CORRECT D) A shift of the point of maximal impulse to the left, with bounding pulses.
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Tension pneumothorax is caused by rapid accumulation of air in the pleural space, causing severely high intrapleural pressure. This results in collapse of the lung, and the mediastinum shifts toward the unaffected side, which is subsequently compressed (C). (A, B, and D) are not demonstrated with a tension pneumothorax.
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