A.W., a 52-year-old woman disabled from severe emphysema, was…

Question Answered step-by-step A.W., a 52-year-old woman disabled from severe emphysema, was… A.W., a 52-year-old woman disabled from severe emphysema, was walking at a mall when she suddenly grabbed her right side and gasped, “Oh, something just popped.” A.W. whispered to her walking companion, “I can’t get any air.” Her companion yelled for someone to call 911 and helped her to the nearest bench. By the time the rescue unit arrived, A.W. was stuporous and in severe respiratory distress. She was intubated, an IV of lactated Ringer’s (LR) to KVO (keep vein open) was started, and she was transported to the nearest emergency department (ED). On arrival at the ED, the physician auscultates muffled heart tones, no breath sounds on the right, and faint sounds on the left. A.W. is stuporous, tachycardic, and cyanotic. The paramedics inform the physician that it was difficult to ventilate A.W. A portable chest x-ray (CXR) shows an 80% pneumothorax on the right. 1.Given the diagnosis of pneumothorax, explain why the paramedics had difficulty ventilating A.W. 2. The physician needs to insert a chest tube. What are your responsibilities as A.W.’s nurse ?pi 3. As the nurse, it is your responsibility to ensure pain control. In A.W.’s case, would youadminister pain medication before the chest tube insertion? Why and Why not? 4. The ED physician inserts a size 32 F chest tube in the sixth intercostal space, midaxillary line.Would you expect to observe an air leak when A.W.’s chest drainage system is in place andfunctioning? 5. Would you expect A.W.’s lung to re-expand immediately after the chest tube insertion andinitiation of underwater suction? Explain. 6. What do you need to document regarding A.W.’s chest drainage system? 7. What instructions do you need to give to the nursing assistive personnel (NAP) who isworking with A.W.? 8. The clerk tells you A.W.’s husband has just arrived; A.W. will be admitted to the hospital.How would you address this issue with her husband?  9. You approach A.W.’s bedside and ask about what looks like two healed chest tube sites on her right chest. A.W.’s husband informs you that this is the third time she has had a collapsedlung. He asks whether this trend will continue. How will you respond?   Health Science Science Nursing NURS 275 Share QuestionEmailCopy link Comments (0)