Practice Questions for Respiratory System Related

Review Practice Questions for Respiratory System related questions and content

Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:

  • A. Contralateral side in a simple pneumothorax.
  • B. Affected side in a hemothorax.
  • C. Affected side in a tension pneumothorax.
  • D. Contralateral side in hemothorax.
Correct Answer: D

Rationale: The correct answer is D: Contralateral side in hemothorax. In a hemothorax, blood collects in the pleural cavity on one side of the chest, causing a mass effect that displaces the trachea away from the affected side towards the opposite side. This occurs due to the pressure created by the accumulated blood pushing the trachea away. In the other choices, tracheal deviation would occur towards the affected side rather than away from it. For example, in a tension pneumothorax (Choice C), air accumulates under pressure in the pleural space, causing the lung to collapse and pushing the trachea towards the affected side. Similarly, in a simple pneumothorax (Choice A), where there is air in the pleural space but not under pressure, the trachea may deviate towards the affected side. In a hemothorax (Choice B), the trachea would not deviate towards the affected side as