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RNSG 2432 - Pleural injury Questions With Complete Solutions
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RNSG 2432 - Pleural injury Questions With Complete Solutions
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RNSG 2432 - Pleural injury Questions With CompleteSolutions
accumulation of blood in pleural space from intercostals blood
vessel, internal mammary artery, lungs, heart or the great
vessels.
What are the clinical manifestations? Correct Answer
hemothorax
Manifestations = dyspnea, diminished or absent breath sounds,
dullness to percussion, decreased hemoglobin, shock depending
on blood volume lost
air that enters the pleural space through an opening in chest wall
is called a ______ pneumothorax.
How do you cover the opening? Correct Answer open
pneumothorax
- During emergency treatment want to cover hole with *dressing
that is secured on 3 SIDES!*
- this prevents air from getting in when patient breathes in but
allows air out of the opening when the patient exhales
- NEVER remove the object in the patients chest, stabilize it
with a bulky dressing
Are exudative easy to treat? What are they caused by? What do
they look like? What is an example? Correct Answer
**Difficult to treat
Caused by= increased capillary permeability from inflammation
reactions.
Looks like = cloudy, full of protein
, Ex: Empyema (collection of purulent fluid in the pleural space
from pneumonia; caused by TB, lung abscess, infections of
surgical wounds of the chest)
caused by medical treatment like putting in a pacemaker,
mechanical ventilation, etc. Correct Answer iatrogenic
pneumothorax
collection of abnormal fluid in the pleural space (usually no
more than ___ mL) Correct Answer pleural effusion
- 25 mL
Describe the pathophysiology of pleural effusion. Correct
Answer The pleural space normally contains 5-15 mL of fluid
that acts like a lubricant between the chest wall and the lung.
Effusion happens when an abnormal amount of fluid collects in
this space. It is not a disease but indication of a disease.
Describe VATS. Correct Answer Video-assisted technique w/ a
rigid scope w/ a distal lens inserted into the pleura & image
shown on monitor screen; allows surgeon to manipulate
instruments passed into the pleural space through separate
intercostal incisions. (Done under general anesthesia in the OR)
- one chest tube is needed postoperatively
Procedures performed using this surgery include: lung biopsy,
lobectomy, resection of nodules, repair of fistulas
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