Exam 22: Flail Chest

Which of the following can stimulate an increased respiratory rate when a flail chest is present? 1) Activation of deflation receptors 2) Activation of irritant receptors 3) Stimulation of J receptors 4) Pain and anxiety

Which of the following are pathologic changes associated with a flail chest? 1) Pneumothorax 2) Secondary pneumonia 3) Pleural effusion 4) Elevated diaphragms

Which of the following accurately describes a flail chest?

How many days of ventilatory support are anticipated for a patient with a flail chest to allow sufficient time for bone healing?

What is the primary cause of hypoxemia in a patient with a severe flail chest?

All of the following are causes of a flail chest EXCEPT:

A patient with a flail chest is experiencing pendelluft. Which of the following would be expected in a patient with a flail chest with pendelluft? 1) Hypoventilation 2) Hypertension 3) Cyclical deeper and then more shallow breathing 4) Rebreathing dead-space gas

Which of the following initial blood gas results would a respiratory therapist expect to find in a patient with a mild flail chest?

Which breath sounds would be expected to be heard when auscultating the chest of a patient with a flail chest?

Which of the following statements is TRUE regarding paradoxical chest movement?

When a patient has a flail chest, what happens during the ventilatory cycle?

What is the most common finding at the site of the flail portion of a flail chest?

Which of the following chest radiograph findings would be expected for a patient with a flail chest? 1) Increased opacity 2) Rib fractures 3) Decreased opacity 4) Tracheal deviation

While assessing a patient who was involved in a serious car crash and hit his steering wheel, the respiratory therapist observes that a section of his left anterior chest wall sinks inward during inspiration. What is the most likely cause?

What is the term for abnormal gas movement from one lung to the other?

Which of the following would be recommended for the management of an adult with a severe flail chest? 1) Continuous positive airway pressure (CPAP) 2) Pain management 3) Mechanical ventilation 4) Positive end-expiratory pressure (PEEP)