Learn about the nursing care management for patients with pneumothorax in this nursing study guide. Show
What is Pneumothorax?Pneumothorax is one of the disorders of the chest and lower respiratory tract.
ClassificationTypes of pneumothorax include simple, traumatic, and tension pneumothorax
PathophysiologyThe pathophysiology of pneumothorax include:
CausesThe cause leads to the identification of the type of pneumothorax.
Clinical ManifestationsThe signs and symptoms associated with pneumothorax depend on its size and cause.
Assessment and DiagnosisPneumothorax is assessed and diagnosed with the following:
Medical ManagementMedical management of pneumothorax depends on its cause and severity.
Surgical ManagementIf more than 1500 ml of blood is aspirated initially by thoracentesis, the rule is to open the chest wall surgically.
Nursing ManagementNursing management of a patient with pneumothorax includes the following steps. Nursing AssessmentThe nurse should assess the following:
Nursing DiagnosisBased on the assessment data, the major nursing diagnoses for the patient are:
Nursing Care Planning and GoalsMain Article: 3 Hemothorax and Pneumothorax Nursing Care Plans The goals for the patient include:
Nursing InterventionsNursing interventions appropriate for the patient are:
EvaluationExpected patient outcomes include:
Discharge and Home Care GuidelinesCare of the patient at home should include:
Documentation GuidelinesThe focus of documentation should include:
Practice Quiz: PneumothoraxHere’s a 5-item quiz about the study guide. Please visit our nursing test bank for more NCLEX practice questions. 1. An initial characteristic symptom of a simple pneumothorax is: A. ARDS. 2. Clinical manifestations related to pneumothorax include the following except for: A. Pleuritic pain. 3. Which of the following should the nurse assess in a patient with pneumothorax? A. Tracheal alignment. 4. The pressure required in the pleural space to keep the lungs inflated is: A. Positive. 5. The following are types of pneumothorax except: A. Trauma. Answers and Rationale 1. Answer: D. Tachypnea and chest discomfort.
2. Answer: C. Acrocyanosis.
3. Answer: D. All of the above.
4. Answer: B. Negative.
5. Answer: D. Direct.
See AlsoPosts related to this care plan:
[sc name=”Affiliate_MedicalSurgical”] What is a priority when caring for a patient with a chest tube?Frequent position changes, coughing, and deep breathing help reexpand the lung and promote fluid drainage. Avoid aggressive chest-tube manipulation, including stripping or milking, because this can generate extreme negative pressures in the chest tube and does little to maintain chest-tube patency.
What will the nurse include when assessing a patient with a chest tube?Assess patient's breath sounds, heart rate, blood pressure, temperature, respiratory rate and rhythm and O2 saturation. Assess patient allergies. Assure O2 and suction are available at bedside.
Which nursing action is of highest priority when a client's chest tube has accidentally dislodged?If the chest tubing becomes disconnected, the nurse should immediately place a gauze dressing over the site. An occlusive dressing can also be necessary to prevent the redevelopment of a pneumothorax. A nurse is caring for a client who has a chest tube and drainage system in place.
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