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In this Picmonic we describe Pneumothorax, remembered by the hunky Nude-Thor-axe who summoned his axe, causing problems for everyone else. This condition occurs when air enters the pleural space, shown by air filling the pleural space between the lungs and chest wall. Patients may present with sudden dyspnea, the disc-P-lungs, have absent or restricted movement on the affected side, shown by the character with restricted movement on the affected side. Furthermore, they show decreased or absent breath sounds on the affected side, the down-arrow muffled-lungs with soundwaves toward the affected side. Patients can complain of chest pain, the chest pain-bolts. Upon imaging, tracheal deviation can also be seen, but depends on the type of pneumothorax. Vital sign changes, the delta vitals sign, are seen and include blood-pressure, heart rate and respiratory rate. Open pneumothorax patients may have crepitus, the carpenters. Other considerations include placing the patient in High Fowler's position with oxygen, the high fowl lifting the patient into this position with an O2-tank. Patients should also be prepared for chest tube placement, and high risk patients should be educated on developing pneumothoraces, the diploma for the high risk patient. So in short review, pneumothorax occurs when air enters the pleural space. Patients may experience sudden dyspnea, absent or restricted movement on the side affected, along with decreased or absent breath sounds on that side. They can have chest pain, tracheal deviation, vital sign changes and crepitus. Nursing considerations include placing the patient in high fowler's position with oxygen, preparing for chest tube placement and educating high risk patients.

educational

story

nude thor axe.png

title pneumothorax.png

Nude-Thor-axe

Pneumothorax

Mechanism

air filling pleural space between lungs.png

Air Filling Pleural Space between lungs and chest wall

Air Enters Pleural Space

Which of the following is most likely the mechanism of pneumothorax?

Assessment

disc p lungs.png

Disc-P-lungs

Sudden Dyspnea

Which of the following most correctly describes an acute finding of pneumothorax?

restricted movement on affected side.png

Restricted Movement on Affected Side

Absent or Restricted Movement on Affected Side

During your assessment of a patient with a pneumothorax, which of the following is most likely to be seen?

down arrow muffled lungs with with soundwaves toward affected side.png

Down-arrow Muffled-lungs with Soundwaves toward Affected Side

Decreased or Absent Breath Sounds on Affected Side

Which of the following auscultation findings is most likely in a patient with pneumothorax?

chast pain.png

Chest Pain-bolts

Chest Pain

trachea deviating.png

Trachea Deviating

Tracheal Deviation

Which of the following findings, visible grossly and on CXR, is most likely in a patient with pneumothorax?

delta vital signs.png

Delta Vitals Sign

Vital Sign Changes

carpenters.png

Carpenters

Crepitus

Which of the following auscultation findings is most likely to be heard in a patient with pneumothorax?

Considerations

high fowler into fowler's position with o2 tank.png

High Fowl lifting into High Fowler's Position with O2-tank

High Fowlers Position With Oxygen

When caring for a patient with a pneumothorax, which of the following is most likely to help the patient?

chest tube.png

Chest Tube

Prepare For Chest Tube Placement

When caring for a patient with a pneumothorax, which of the following should be done?

diploma for high risk patient.png

Diploma for High Risk Patient

Educate High Risk Patients

Which of the following is likely to improve outcomes in pneumothorax?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

Potter, Perry, Stockert & Hall, 2017, Fundamentals of Nursing, 9th Ed.

A Pneumothorax can be thought of like Nude-Thor, summoning his mighty axe, after waking up in the park nude and in dire need of something to cover his naughty bits. &nbsp;But Thor doesn't really think it through, and his axe means trouble for innocent park goers. &nbsp;It busts through the chest wall of some lungs playing frisbee, and air enters the plueral space. &nbsp;The disc-P they were playing with richochets off the axe, right into another pair of lungs, making it difficult to breath. &nbsp;The lungs are left with restricted movement on the affected side, and stuff socks into their mouthes to muffle the cries from chest pain. &nbsp;But the axe isn't finished there. &nbsp;One trachea barely keeps its neck and deviates away as the axe goes flying by. &nbsp;It bounces off a delta vital sign, breaking it, and upsets carpenters taking a krispy treat lunch break. &nbsp;This actually isn't the first time Thor has woke up in the park nude, and the regulars know what to do. &nbsp;A high fowl flies it's patient over the axe in the high fowler's position. &nbsp;And another preps a chest tube, while perilously balancing on a high risk sign, as he's closest to Thor and near a cliff edge. &nbsp;But as he's well educated with a diploma on the powers of Nude-Thor and his axe, he knows all the right moves for avoiding a pneumothorax.

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 03/2021/30

Picmonic NCLEX Question of the Day 03/30/2021

Picmonic NCLEX® Question of the Day

A 40-year-old, male patient is admitted to the ED after a domestic dispute with his wife, with penetrating trauma to the chest wall from a stabbing with household scissors. Which assessment findings would likely indicate the presence of a pneumothorax? Select all that apply:

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