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AHN 447 EXAM 3 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
LATEST UPDATE | 2024-2025
What are the clinical manifestations of a pulmonary contusion?
Ans
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MAY BE ASYMPTOMATIC AT FIRST
decreased breath sounds or crackles and wheezes over the affected area
bruising over the injury
dry cough
tachycardia
tachypnea
dullness to percussion
bloody sputum
initial CXR normal--CXR with opacities after several days
*can lead to respiratory failure
What is the pathophysiology of a pulmonary contusion?
Ans
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occurs most often by rapid deceleration during car crashes
Hemorrhage and edema occur in and between the alveoli, reducing both lung movement
and the area available for gas exchange.
Localized inflammation can cause further damage.
The pt becomes hypoxemia and dyspneic (SOB).
What position should you place the pt in who has a pulmonary contusion?
Ans
Place the pt in moderate-Fowler's position.
When side-lying, the "good lung down" position may be helpful.
What are rib fractures most often caused by?
Ans
direct blunt trauma to the chest wall
(The force applied to the ribs fractures them and drives the bone ends into the chest)
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What is the pt at risk for with a rib fracture?
Ans
DEEP CHEST INJURY (pulmonary contusion, pneumothorax, hemothorax)
What is flail chest?
Ans
Flail chest is the result of fractures of at least 2 neighboring ribs in 2 or more places causing
PARADOXICAL CHEST WALL MOVEMENT (inward movement of the thorax during
inspiration, outward movement during expiration)
It usually involves one side of the chest and results from blunt chest trauma.
What clinical manifestations are most often seen with a flail chest?
Ans
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