Respiratory Therapist

Category - Initiation and Modification of Interventions

A patient presents to the emergency room with sudden onset of dyspnea and right-sided chest pain. The patient is placed on 100% oxygen but is still very dyspneic and uncomfortable. A stat chest x-ray is ordered.

If a pneumothorax is confirmed, what is the next step in treatment?
  1. Decubitus x-ray
  2. Chest tube insertion
  3. Place patient on CPAP
  4. Perform ECG
Explanation
Answer: B-A patient presenting with sudden dyspnea and right-sided chest pain should first be placed on 100% oxygen. If a stat chest x-ray confirms pneumothorax, a chest tube should be inserted. Insertion of a chest tube will drain the air from the pleural space.
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