4. Choice B is the correct answer. This patient has a left sided hemopneumothorax. It is over 15% which is generally considered the threshold for putting a chest tube in or not. Choice A is incorrect for a couple reasons. First the patients problem is on the left not the right. In addition, needle decompression is done in the mid clavicular line. It would simply not be effective for draining blood or air. Choice C may buy some time if the patient is unstable and it is under tension but would not provide definitive treatment. Choice D would be correct if the patient had a pleural effusion on the left.
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