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Valijon Valijon
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A month ago
A patient with a long history of chronic obstructive pulmonary disorder (COPD) presents to the emergency department in respiratory distress. After assessing absence of lung sounds on the right and tracheal deviation, the nurse notifies the ED physician. What emergency intervention should the nurse anticipate?
1. Intubation and mechanical ventilation
2. Needle thoracostomy
3. Administration of furosemide
4. Pericardiocentesis
Textbook 

High-Acuity Nursing


Edition: 6th
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tarasen57tarasen57
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A month ago
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More questions for this book are available here
The answer is 2
Rationales:
1. The patient may require intubation and mechanical ventilation, but this is not the emergent treatment.
2. This patient shows signs of tension pneumothorax. If this proves to be the case, needle thoracostomy or chest tube placement is indicated.
3. Absence of breath sounds on one side is not a finding generally associated with pulmonary edema. Furosemide treatment would be indicated to increase diuresis, thereby reducing pulmonary edema.
4. Pericardiocentesis would be performed if the patient had cardiac tamponade. The assessment findings do not indicate cardiac tamponade.
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