A 26-year-old unrestrained woman struck her chest on the steering wheel when her car collided with another vehicle. After performing your primary assessment and administering high-flow oxygen, you assess her chest and note a segment of obviously fractured ribs that bulges outward during exhalation. You should:

Respuesta :

Answer: You should carry out an image test on the chest region, than to the ribs. Image tests such as X- rays, CT (Computed Tomography) scan or MRI(Magnetic resonance imaging).

Explanation:

In a situation like this, after performing your primary assessment and administering high-flow oxygen, and assessing her chest and note a segment of obviously fractured ribs that bulges outward during exhalation. It is recommended that an imaging testing should be carried out on her such as X-rays, CT scan or MRI. For proper diagnosis, it is important all the image test be carried on her.

However, it is good to know that X-rays are have low radiation to make bones visible for examination but have issues revealing fresh rib bones fractures. It is useful for detecting collapsed lungs. Also CT scan often can uncover rib fractures that X-rays might have missed while MRI can also help in the detection of more subtle rib fractures. So after these diagnoses have been read by a physician, one can know the kind of treatment to administer.

It is important to know that most broken ribs heal on their own within six weeks and also restricting of activities and applying ice on the area regularly can help in healing fast and relieving pains. Though there are oral medications to relieve pains which are prescribed by the doctor such as acetaminophen or ibuprofen. It is also advised to take deep breaths to avoid pneumonia because lung infection is a most common infection one can get with fractured ribs.

Hello. You forgot to add the answer options. The options are:

"A) increase intrathoracic pressure with a demand valve.  B) apply a bulky dressing to the segment of fractured ribs.  C) position her on her injured side and monitor her breathing.  D) apply pressure to the segment of ribs as the patient inhales."

Answer:

B) apply a bulky dressing to the segment of fractured ribs.

Explanation:

Fractured ribs can cause severe pain, difficulty breathing and can even pierce an organ, such as the lung. However, surgery is not necessary to repair the fracture of the ribs, the body itself will be in charge of resolving these fractures.

While the body does not "repair" the fractured ribs, the ideal is for the person with fractured ribs to seek medical attention. At that moment, when the nurse perceives the fractures, that nurse must apply a bulky dressing on the fractured rib segment (to limit movement), prescribe some medication to relieve pain and recommend an absolute repair until the organism repairs the injury.

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