Question

Which of the following reassessment findings is MOST significant in a patient with penetrating chest trauma?

a) heart rate of 78 beats per minute
b) symmetrical chest rise and fall
c) blood pressure of 90/76 mm Hg
d) loud heart tones to auscultation

Answer 1

The most significant finding in a patient with penetrating chest trauma is a blood pressure of 90/76 mm Hg, as it suggests the possibility of shock due to blood loss or cardiac tamponade, requiring urgent medical attention.

Step-by-step explanation:

The most significant reassessment finding in a patient with penetrating chest trauma from the options provided is c) blood pressure of 90/76 mm Hg. This blood pressure is indicative of possible hypotension, which could suggest the patient is experiencing a form of shock, likely due to hemorrhage or cardiac tamponade; both are critical conditions associated with penetrating chest injuries. Immediate attention and intervention are required as they pose immediate threats to life.

Choice a) with a heart rate of 78 beats per minute is within the normal range and hence not as concerning. Symmetrical chest rise and fall might suggest adequate ventilation but does not exclude the presence of an internal injury. Loud heart tones to auscultation (choice d) are less significant compared to abnormal blood pressure readings unless they indicate a new abnormality such as a cardiac tamponade, but still, the blood pressure given is a more immediate concern potentially indicating systemic hypoperfusion.