Answer: pneumothorax is a condition that is characterised by air in the space between the lungs and the chest wall.
It can be caused by trauma or injury to the chest or certain medical or surgical procedures to the chest.
Explanation:
Answer 1; There is an increase in heart rate(tachycardia), increased/rapid breathing (tachypnea) and elevated blood pressure which is unlikely in pneumothorax that is characterised by decrease/low blood pressure.
Answer 2; Assessment should focus on tachycardia (increased/rapid breathing), assessment for breath sound and chest wall movement.
Answer 3; Nursing diagnosis will include Respiratory distress and impaired tissue perfusion as a result of air in the lungs.
Answer 4; Acetaminophen because morphine depresses the respiratory centre leading to slower and shallower respiration which won't be favourable for Justin.
Answer 5; SPO2 should be monitored to ascertain decrease in gaseous exchange and respiratory rate to monitor for breathing pattern.
Answer 6; when Justin verbalizes less pain,exhibit calmness and is able to contribute actively/ passively to care rendered.
