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A 26-year-old male arrives via Emergency Medical Services to the ED following a motor vehicle accident (MVA). The patient is awake and alert; however, he c/o sharp pain in his chest that extends to his back, neck, and shoulders. You begin your assessment and note that the patients’ vital signs are as follows: BP 90/42, HR 101, RR 32, O2 sats 89% on 4L NC. The patient is pale and dyspneic. Inspection of the chest wall reveals areas of ecchymosis over the right shoulder and right anterior chest wall. The emergency medical technician reports that the patient was the sole driver of the automobile and bystanders stated the driver swerved to avoid a deer and hit a telephone pole. The patient was wearing a seatbelt; however, the air bags did not deploy. Auscultation of the chest reveals an absence of lung sounds on the right side with diminished lung sounds on the left side. What are the possible respiratory conditions associated with the clinical presentation of this patient? Describe your priorities of care Chapter 48 Critical Thinking Exercise You are a staff nurse in an outpatient dialysis facility. A 28-year-old woman with ESKD is seen in the clinic for the
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