Difficulty: Medium
Average Score: 64%
Simulated
A preterm infant delivered 2 hours ago at 34 weeks' gestation is experiencing rapid respirations, grunting, no breath sounds on one side, and a shift in location of heart sounds. The nurse should prepare to assist with which of the following?
Correct answer
D
Rationale
These symptoms suggest a pneumothorax, and inserting a chest tube is the priority to relieve air trapping.