After your patient's pleural space has been drained during their Thoracentesis, the fluid in the glass jars has a pus-like appearance.
This fluid is most likely the result of a:
Chylothorax.
Pneumothorax.
Hemothorax.
Empyema.
The Correct Answer is D
Choice A rationale
A chylothorax refers to the accumulation of chyle, a milky, lymphatic fluid, in the pleural space. This typically results from disruption of the thoracic duct, often due to trauma or malignancy. The fluid's characteristic milky appearance is due to its high triglyceride content, not a pus-like consistency.
Choice B rationale
A pneumothorax is the presence of air in the pleural space, leading to lung collapse. It is characterized by respiratory distress and diminished breath sounds, not the presence of fluid with a pus-like appearance. This condition involves gas, not liquid, accumulation in the pleural cavity.
Choice C rationale
A hemothorax is the accumulation of blood in the pleural space, usually due to trauma or a ruptured blood vessel. The fluid would appear bloody, not pus-like. While blood can become infected, a primary hemothorax itself presents as serosanguineous or frank blood, differing from purulent exudate.
Choice D rationale
Empyema refers to the accumulation of pus in the pleural space, most commonly caused by bacterial infection. The pus-like appearance of the drained fluid is a direct indication of a significant inflammatory and infectious process, where leukocytes, necrotic debris, and microorganisms are present, forming purulent exudate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Intubation into the cranial vault is anatomically impossible during standard endotracheal intubation. The tube is designed to pass through the oral or nasal pharynx, larynx, and vocal cords into the trachea. The cranial vault is a completely separate anatomical structure, superior to the airway, protected by the skull, and has no direct communication with the respiratory tract for tube misplacement.
Choice B rationale
While left mainstem bronchus intubation can occur, it is less common than right mainstem intubation. The left mainstem bronchus branches at a more acute angle from the trachea compared to the right, making it less likely for an endotracheal tube, which typically follows a straighter path, to inadvertently enter. This anatomical difference reduces the incidence of left-sided misplacement.
Choice C rationale
The right mainstem bronchus branches off the trachea at a less acute angle and is a more direct continuation of the tracheal lumen compared to the left mainstem bronchus. This anatomical alignment makes it the most common site for inadvertent endotracheal tube misplacement, leading to ventilation of only the right lung and potential collapse of the left lung.
Choice D rationale
Duodenal intubation is an anatomical impossibility for an endotracheal tube. The duodenum is part of the gastrointestinal tract, located inferior to the stomach, and has no direct anatomical connection with the respiratory system. Endotracheal intubation is specifically designed for airway management, not gastrointestinal access.
Correct Answer is D
Explanation
Choice A rationale
A chylothorax refers to the accumulation of chyle, a milky, lymphatic fluid, in the pleural space. This typically results from disruption of the thoracic duct, often due to trauma or malignancy. The fluid's characteristic milky appearance is due to its high triglyceride content, not a pus-like consistency.
Choice B rationale
A pneumothorax is the presence of air in the pleural space, leading to lung collapse. It is characterized by respiratory distress and diminished breath sounds, not the presence of fluid with a pus-like appearance. This condition involves gas, not liquid, accumulation in the pleural cavity.
Choice C rationale
A hemothorax is the accumulation of blood in the pleural space, usually due to trauma or a ruptured blood vessel. The fluid would appear bloody, not pus-like. While blood can become infected, a primary hemothorax itself presents as serosanguineous or frank blood, differing from purulent exudate.
Choice D rationale
Empyema refers to the accumulation of pus in the pleural space, most commonly caused by bacterial infection. The pus-like appearance of the drained fluid is a direct indication of a significant inflammatory and infectious process, where leukocytes, necrotic debris, and microorganisms are present, forming purulent exudate.
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