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Exam 22: Pneumothorax

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Question 1

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An iatrogenic pneumothorax may be caused by all of the following EXCEPT:

A) positive-pressure mechanical ventilation.
B) pleural biopsy.
C) subclavian vein cannulation.
D) endotracheal intubation.

E) All of the above
F) A) and B)

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Question 2

Multiple Choice

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Your patient has had a puncture wound through her chest wall. This has resulted in a check valve so that room air is drawn into the chest during each inspiration and cannot get out. This will result in what type of pneumothorax?

A) Spontaneous
B) Tension
C) Open
D) Closed

E) A) and D)
F) A) and C)

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Question 3

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A 6-foot-tall, 130-pound, 22-year-old female patient has come to the emergency department with a complaint of a sudden sharp pain in the right upper chest followed by shortness of breath. She was participating in deep breathing exercises in her yoga class when this happened. The physician has determined that she has a 15% pneumothorax. How should it be classified?

A 17-year-old male has been brought to the hospital because he felt short of breath after being tackled in a football game. A chest radiograph shows a broken rib and a 10% pneumothorax. The type of pneumothorax that he has is called:

Your patient with a large pneumothorax has tachycardia and a low blood pressure. What could cause this?

Treatment of a 30% pneumothorax may include: 1) endotracheal intubation. 2) giving the patient supplemental oxygen. 3) placing a chest tube into the pleural space. 4) placing a chest tube into the pericardial space.

If the a patient has a pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:

After the patient has had repeated pneumothoraces of her right lung, the physician has recommended that the patient have the problem permanently eliminated. What should be done?

What are the anatomic alterations that occur when a person has a pneumothorax? 1. The lung on the affected side collapses. 2. The visceral and parietal pleura separate. 3. The visceral pleura adheres to the parietal pleura. 4. The chest wall moves outward.

A pneumothorax manifests itself clinically as a/an:

The lung on the affected side collapses. 2) The visceral and parietal pleura separate. 3) The visceral pleura adheres to the parietal pleura. 4) The chest wall moves outward.

According to the way gas enters the pleural space, a pneumothorax will be classified as: 1) one-sided. 2) bilateral. 3) open. 4) closed.

Which of the following chest assessment findings would be expected in a patient with a tension pneumothorax?

Your 40-year-old patient is having a chest tube placed to remove the air from her pleural space. All of the following are necessary aspects of this process EXCEPT:

Your patient has a pneumothorax with a sucking chest wound resulting in the movement of air from one lung to another. This is called:

Which of the following hemodynamic indices will be found in a patient with a large hemothorax?