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AHN 568 Unit 5 Chest X-Ray Interpretation study guide with Questions and Answers| Latest Update
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AHN 568 Unit 5 Chest X-Ray Interpretation study guide with Questions and Answers| Latest Update
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AHN 568 Unit 5 Chest X-Ray Interpretation studyguide with Questions and Answers| Latest Update
A patient with ARDS and PEEP of 14 suddenly becomes tachycardic, tachypneic, and hypoxic
with oxygen saturation of 80%. Upon assess you see tracheal deviation to the right and
diminished lung sounds on the left. You order a stat chest x-ray and place the patient in which
position?
A) supine
B) prone
C) right lateral decubitus
D) left lateral decubitus - ✔✔C) Right lateral decubitus because air rises. On the x-ray you
will see a pneumothorax on the left chest wall
Free pleural fluid will move toward the back when the patient is
A) supine
B) erect
C) lateral aspect of the dependent thorax - ✔✔Supine
A patient with CHF exacerbation has a left pleural effusion seen on the lateral CXR film
evidenced by a blunted costophrenic sulci. You know that this effusion must have at least
A) 5 mL
B) 75 mL
C) 175 mL - ✔✔B) 75 mL must be present to be seen on a lateral view
5 mL must be present to be seen on a lateral decubitus
175 mL must be present to be seen on the PA view.
AP view requires several hundred mL.
, What is the best view to detect air trapping behind a unliateral tracheobronchial tumor?
A) PA film on inspiration
C) PA film on expiration
D) lateral film
C) oblique - ✔✔PA film on expiration. Air trapping would cause one lung to appear more
inflated (darker) than the other b/c all the air cannot be expelled.
Expiratory films can also be used to detect
A) pneumonia
B) pleural effusion
C) pericardial effusion
D) small pneumothorax - ✔✔D) pneumothorax - the collapsed lung appears whiter and the
surrounding intrapleural air is darker.
A bedridden patient has a suspected left pleural effusion that is not visible on the AP view. You
would place the patient in which position to confirm you assessment?
A) prone
B) erect lateral
C) right lateral decubitus
D) left lateral decubitus - ✔✔left lateral decubitus
Match the view or technique that would give the most information in the following situations:
1) suspected pleural fluid on the right
2) suspected air trapping behind a endobrochial tumor
3) suspected right pneumothorax on a patient who cannot sit or stand
4) bullet fragment in the heart
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