During the assessment of a patient after a high-speed motor vehicle crash,which of the following findings would increase the nurse's suspicion of a pulmonary contusion? (Select all that apply.)
A) Chest wall ecchymosis
B) Diminished or absent breath sounds
C) Pink-tinged or blood secretions
D) Signs of hypoxia on room air
E) Paradoxical chest wall movement

Question

Quizplus · Accepted Answer

Pulmonary contusion is a serious injury associated with deceleration or blast forces and is a common cause of death after chest trauma.The clinical presentation includes chest wall abrasions,ecchymosis,bloody secretions,and a partial pressure of arterial oxygen (PaO₂)of less than 60 mm Hg while breathing room air.The bruised lung tissue becomes edematous,resulting in hypoxia and respiratory distress.Absence of breath sounds is more suggestive of atelectasis or a collapsed lung.Paradoxical chest wall movement is indicative of flail chest.

During the Assessment of a Patient After a High-Speed Motor