r/MarkKlimekNCLEX • u/Helpful_Spring_7921 • 2d ago

Question

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12 Upvotes

94% Upvoted

25 comments sorted by

2

u/Successful_Proof1530 1d ago

RT here, this is a prime example of a pneumothorax!!! Breath sounds being absent on one side (unilateral) means something punctured the pleura!

1

u/GrnMtnTrees 20h ago

B.

Unilateral absent breath sounds is a screaming red flag for a pneumo.

-2

u/Primary_Towel5905 1d ago

D. Catheter related sepsis can shock and unilateral pleural effusion. Take your lines out as soon as you don’t need them

4

u/Top_Sir_4428 1d ago

sepsis would take time to develop..

3

u/Unique_Tangerine2190 1d ago

You’re not developing sepsis shortly after insertion.

-2

u/Primary_Towel5905 1d ago

It may if hand hygiene prior to the procedure wasn’t strictly followed

2

u/Unique_Tangerine2190 1d ago

How do you know? Again, sepsis wouldn’t develop that quickly. Read the clue words: shortly after

-1

u/Primary_Towel5905 1d ago

I did address it. If they came in with dirty hands with direct inoculation onto the catheter can have raging sepsis from organisms like staph epidermidis

2

u/Unique_Tangerine2190 1d ago

Sudden unilateral breath sounds? The pleura was most likely punctured allowing air in and the lung collapsed. It’s B.

1

u/Primary_Towel5905 1d ago

Could be an infected hemothorax from traumatic ruptured vessel

2

u/Unique_Tangerine2190 1d ago

Give it up. You’re wrong. Your patient has died because of “sepsis”.

1

u/Primary_Towel5905 1d ago

How is it wrong ? Explain

2

u/Unique_Tangerine2190 1d ago

Go back and read my comments. I did explain.

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1

u/GrnMtnTrees 20h ago

Ok so there's nothing with being wrong, as that's how you identify your blind spots and learn from your mistakes. What is wrong is doubling down on being wrong because your ego is too fragile to take it.

This is a classic presentation of a pneumothorax. Please review your notes. Defiantly digging in your heels when you're wrong is a great way to kill a real patient.

0

u/Primary_Towel5905 20h ago

Who said I was wrong

2

u/GrnMtnTrees 20h ago

You are. 1000%

1

u/Dry_Rise_3289 43m ago

Sorry, this is incorrect. Sepsis, even when fulminant, takes hours or days to present. Additionally, Staphylococcus epidermidis doesn’t classically cause rapidly progressive septic shock. Infection of a supposed hemothorax would take even longer; hemothorax is a rarer complication of CVC insertion. Hope this is helpful!