NCLEX-PN® ExaminationReduction of Risk PotentialMedium

A client undergoing a thoracentesis suddenly develops dyspnea, tachypnea, and diminished breath sounds on the affected side. The LPN should recognize these findings as indicative of which complication?

  1. APneumothorax
  2. BAcute respiratory distress syndrome (ARDS)
  3. CPulmonary embolism
  4. DCardiac tamponade
Show answer & explanation

Correct answer: A. Pneumothorax

Dyspnea, tachypnea, and diminished breath sounds on the affected side following a thoracentesis are classic signs of a pneumothorax, a common and serious complication where air enters the pleural space, causing lung collapse.

Why the other options are wrong

  • B. ARDS is a severe lung condition caused by widespread inflammation, not typically an immediate complication directly after thoracentesis.
  • C. Pulmonary embolism presents with sudden dyspnea and chest pain, but diminished breath sounds are not a primary indicator.
  • D. Cardiac tamponade involves fluid accumulation around the heart, leading to muffled heart sounds, hypotension, and jugular venous distention, not primarily diminished breath sounds.

Pneumothorax

A condition in which air leaks into the space between the lung and chest wall (pleural space), causing the lung to collapse.

  • Can be spontaneous, traumatic, or iatrogenic (e.g., after thoracentesis)
  • Symptoms include sudden chest pain, shortness of breath, diminished breath sounds
  • Treatment often involves chest tube insertion

Memory trick: Post-Procedure Problems: Ponder Patient's Pains!

More Reduction of Risk Potential questions