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A Patient with a Tension Pneumothorax Requires Insertion of a Pleural

Question 14

Multiple Choice

A patient with a tension pneumothorax requires insertion of a pleural chest tube.The nurse assists the physician as multiple doses of a local anesthetic are administered prior to tube insertion.Which observation by the nurse warrants immediate physician attention?


A) The patient's respiratory rate changes from 22 to 26 breaths per minute.
B) The patient complains of pain during anesthetic injections.
C) The patient's systolic blood pressure changes from 156 to 138 mmHg.
D) The patient's heart rate changes from 100 to 75 beats per minute.

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