MEDizzy - The nurse in the emergency room is caring for a client with

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The nurse in the emergency room is caring for a client with multiple rib fractures and a pulmonary contusion. Assessment reveals a respiratory rate of 38, a heart rate of 136, and restlessness. Which associated assessment finding would require immediate intervention?

ExplanationThe absence of breath sounds and subcutaneous air, increased heart rate, dyspnea, and restlessness indicate a pneumothorax, which would require immediate intervention. Answer A could occur with the pulmonary contusion and would be expected. Answer D would be expected with fractured ribs. Answer B is not a cause for great concern because the midline trachea is a normal finding.