MOI/Anatomy
Pathophysiology
Assessment
Treatment
Chest Tubes
100

The position of this organ when trauma occurs may make a difference between thoracic and abdominal trauma.

What is the diaphragm

100

Name three major functions necessary for life that may be affected by chest trauma.

What is ventilation, oxygenation, and circulation?

100
Crepitus upon palpation

What are the manifestations of rib fractures?

100

Name three potential treatments of flail chest

What are oxygen administration, positive pressure ventilation, intubation, and stabilization of the chest wall?

100

This chamber of a closed chest drainage system is responsible for acting as a one-way valve.

What is the water-seal chamber?

200

This mechanism of injury can cause blunt chest trauma.

What is assault with a blunt object, crush injury, explosion, fall, motor vehicle collision, pedestrian accident, sports injury?
200

3 or more adjacent ribs that are fractured in two or more places.

What is a flail segment?

200

JVD should be assessed with the patient in this position.

What is 45 degree semi-fowlers?

200

The very first thing you should put on an open sucking type chest wound.

What is an occlusive dressing taped on 3 sides?

200

Continuous bubbling is an expected finding in this chamber.

What is wet suction in the suction control chamber?
300

This mechanism of injury can cause penetrating chest trauma.

What is arrow, gunshot, knife, stick?

300

The most common thoracic injury from blunt trauma

what is a rib fracture?

300
The order of initial assessment and intervention for the patient with chest trauma if there is obvious external hemorrhage.

What is CAB?

300

The initial intervention for an impaled object in the chest.

What is stabilize with a bulky dressing?
300

Place the distal end of the chest tube in 2 cm water in sterile container; replace unit.

What are the steps to take if a chest drainage unit breaks?

400

These are the ribs most often fractured.

What are ribs 5 through 9?

400
These are air-filled sacs on the surface of the lung that can rupture and cause a pneumothorax. Smoking increases their formation.

What are blebs?

400

The assessment findings that indicate the presence of a tension pneumothorax in a patient with chest trauma.

What are severe respiratory distress and tracheal deviation away from the affected side?

400

Returning patient's own blood intravenously when there is no diaphragmatic injury present.

What is autotransfusion?

400

The nurse should check for leaks in the chest tube and pleural drainage system when this occurs.

What is continuous bubbling in the water-seal chamber?

500

These two things are found in the intercostal space on the bottom aspect of each rib.

What are intercostal muscles, neurovascular bundle .(artery, vein and nerve)?

500

This occurs when blood rapidly collects in the pericardial sac and prevents the ventricles from filling.

What is cardiac tamponade?

500

Following a motor vehicle accident, the nurse assesses the patient for this GCS that indicates a potential need for intubation.

What is a GCS of 8?
500

The treatment for a patient experiencing severe dyspnea, tachycardia, tracheal deviation and hypotension.

What is needle decompression?
500

An unlicensed assistive personnel (UAP) is taking care of a patient with a chest tube. The nurse should intervene when they observe the UAP do this.

What is stripping or milking the chest tube to promote drainage?