NCLEX-RN Exam Practice

Category - Respiratory

What is a distinctive sign that a patient has flail chest?
  1. Cyanosis
  2. Hypotension
  3. Dyspnea, especially on exhalation
  4. Paradoxical chest movement
Explanation
Answer: D - A patient with flail chest would have paradoxical chest movement. The flail chest comes from several sections of rib being broken, resulting in a floating section of ribs. This small section moves the opposite direction of the rest of the chest during inspiration and expiration.
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