During the primary survey, which finding in breathing assessment is most likely to require immediate intervention?
Show answer and explanation
Correct answer: Asymmetric chest rise with unilateral absent breath sounds and distended neck veins
Asymmetric chest rise, absent breath sounds, hypotension, and neck-vein distension indicate a life‐threatening condition like tension pneumothorax, requiring immediate intervention.
Keep practicing
More Rapid Emergency Assessment questions
- What is a priority intervention for suspected hypovolemic shock during the circulation step of the primary survey?
- Regarding the 'D' in ABCDE, what does the nurse assess in the Disability component?
- Which element is included in the 'E' component of the ABCDE approach?
- When should the nurse begin the secondary survey in a trauma patient?
- Which statement is true about reassessment during the ABCDE process?
- Following a head injury, what should the nurse do if a patient has unequal pupils and is speaking in full sentences?