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NCLEX-RN Exam - Question 68


In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

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Correct Answer: C

Evaluating the mediastinal position in a client with chest trauma is best done by palpating for tracheal deviation. Mediastinal shift, often caused by conditions such as tension pneumothorax or a large hemothorax, can lead to tracheal deviation. While auscultating breath sounds, palpating for crepitus, or auscultating heart sounds provide valuable information about the patient's respiratory and cardiac status, they do not directly indicate the mediastinal position. Tracheal deviation is a direct and reliable sign that can indicate a mediastinal shift.

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Pom_24Option: C
Feb 22, 2024

Answer C