You respond to a cafeteria for a 16-year-old patient who is choking. Your patient is conscious and coughing forcefully. She appears anxious and is difficult to communicate with due to the coughing but is able to follow commands. Assessment reveals a respiratory rate of 28, shallow, diminished breath sounds on the right side, and and a SpO2 reading of 96%. Based on the history and assessment findings, you suspect
(A) aspiration of food into the right mainstem bronchus causing obstruction.
(B) a spontaneous pneumothorax on the left side secondary to the forceful coughing.
(C) that the choking episode has subsided and the patient is recovering.
(D) a spontaneous pneumothorax on the right side secondary to the forceful coughing.
Answer: (A) aspiration of food into the right mainstem bronchus causing obstruction.
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