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Billy Franklin, a 17-year-old male was in a motor vehicle accident and transported to the ED...

Billy Franklin, a 17-year-old male was in a motor vehicle accident and transported to the ED by ambulance. He presented with SOB, bruising diagonally across chest, tachypnea, uneven rise and fall of chest with breaths, and confusion when asked where he is at. He stated that he has sharp stabbing chest pain and is “having a hard time breathing”. During initial assessment nurse noted crepitus upon auscultation. His vitals were blood pressure of 108/61, pulse rate of 112, O2 sat: 84%, temp: 98.6, respiratory rate of 25. He was admitted to the hospital after a chest x-ray confirming fractured ribs with some noticeable loose segments of the chest wall.

Questions:

  1. What are the top three nursing interventions?

a.

b.

c.

  1. What are 2 acute complications you should monitor for in this patient?

a.

b.

  1. What signs and symptoms are specific to the patient’s diagnosis?
  2. What are two non-pharmaceutical pain management interventions?

a.

b.

  1. When administering pain meds for this patient what is important to monitor for?  
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Homework Answers

Answer #1

Ans

1 assistant ventilation

2.i v fluids

3.early stablisation of ribs as they may deveelop pneumothorax

Ans

A-pneumothorax

B- syncope

Ans

A increase respiratory effeort

B-decrease oxygen saturation

C- flail chest

Assisted ventilation is help in reducing pain

Ans

Oxygen saturation and respiratory rate

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