Final answer:
Symptoms of tension pneumothorax include severe respiratory distress, decreased breath sounds, tracheal deviation, and hyperresonance on percussion.
Step-by-step explanation:
Symptoms of Tension Pneumothorax
When assessing a patient with a chest tube, the nurse suspects tension pneumothorax if the patient presents with the following symptoms:
- Severe respiratory distress: The patient may have rapid and shallow breathing, an increased heart rate, and difficulty breathing.
- Decreased breath sounds: The lung on the affected side may have decreased or absent breath sounds due to the collapse of the lung.
- Tracheal deviation: In tension pneumothorax, the trachea may deviate to the unaffected side.
- Hyperresonance on percussion: Percussion over the affected lung reveals a hyperresonant sound due to trapped air.
If a patient presents with these symptoms, it is important to seek immediate medical attention as tension pneumothorax is a medical emergency.