The following is NOT a pertinent negative to note during your assessment of a patient with chest trauma is 5. Presence of chest pain. Therefore, 5. Presence of chest pain is correct.
A pertinent negative in a medical assessment refers to the absence of expected signs or symptoms that would normally be associated with a particular condition or injury.
In the context of chest trauma, pertinent negatives help healthcare providers rule out potential complications or issues.
Let's evaluate each option to determine which is NOT a pertinent negative in assessing a patient with chest trauma:
Absence of respiratory distress:
This is a pertinent negative. If the patient does not show signs of respiratory distress (such as rapid or labored breathing), it suggests that there may not be a significant compromise of the respiratory system.
No crepitus on palpation:
This is a pertinent negative.
Crepitus, the crackling sound or sensation produced by the rubbing of broken bone ends or the presence of air in soft tissues, is an expected finding in chest trauma.
Its absence would be a reassuring sign.
No chest wall tenderness or deformities:
This is a pertinent negative.
The absence of tenderness or deformities in the chest wall indicates that there may not be significant musculoskeletal involvement or fractures.
Normal breath sounds on auscultation:
This is a pertinent negative. Normal breath sounds suggest that there may not be major respiratory complications, such as pneumothorax or hemothorax.
Presence of chest pain:
This is NOT a pertinent negative.
Chest pain is a symptom that may indicate various conditions, including chest trauma.
Its presence is relevant information and should not be considered a negative finding.
Question
Which of the following is NOT a pertinent negative to note during your assessment of a patient with chest trauma?
1.Absence of respiratory distress
2.No crepitus on palpation
3. No chest wall tenderness or deformities
4. Normal breath sounds on auscultation
5. Presence of chest pain