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Terms in this set (18)The chest tube of a client who is 12 hours postoperative from a lobectomy separates from the drainage system. What is the nurse's best first action? a. Immediately call the surgeon or rapid response team. d. Place the end of the disconnected tube into a container of sterile water positioned below the chest. The nurse is caring for a patient with a chest tube. What is the correct nursing intervention for this patient? a. The patient is encouraged to cough
and do deep-breathing exercises frequently. a. The patient is encouraged to cough and do deep-breathing exercises frequently. Upon observation of a chest tube setup, the nurse reports to the provider that there is a leak in the chest tube system. How has the nurse identified this problem? a. Drainage in the collection chamber has decreased. d. There was onset of continuous vigorous bubbling in the water seal chamber. The provider's prescriptions indicate an increase in the suction to -20cm for a patient with a chest tube. To implement this, the nurse performs which intervention? a. Increases the wall suction to the medium setting, and observes gentle bubbling in the suction chamber c. Stops the suction, adds sterile water to level of -20cm to the water seal chamber, and resumes wall suction A patient has a chest tube in place. What does the water in the water seal chamber do when the system is functioning correctly? a. bubbles vigorously and
continuously c. fluctuates with the patient's respirations A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the room? (Select all) a. Oxygen a. Oxygen e. Occlusive dressing A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. Which of the following actions should the nurse take first? a. Obtain a chest x-ray b. Apply sterile gauze to the insertion site A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? (Select all) a. Continuous bubbling in water seal chamber b. Gentle constant bubbling in suction control chamber A nurse is assisting a provider with the removal of a chest tube. Which of the following should the nurse instruct the client to do? a. Lie on his left side d. Perform valsalva maneuver A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? (Select all) a. Encourage client to
cough every 2 hr a. Encourage client to cough every 2 hr A nurse is caring for a patient who has a chest tube in place attached to a closed-chest water-seal drainage system following thoracic surgery. Which of the following strategies should the nurse use to help promote comfort? a. Encourage ambulation b. Have the patient splint the affected side during coughing A patient injured in a motor-vehicle crash is transported to an ED. The provider determines the need for immediate thoracotomy and chest-tube insertion and anticipates the need for maximal suction pressure. The appropriate type of closed-chest drainage system for this patient is a a. Pneumostat b. Dry suction-control system A nurse is caring for a patient who is 6hr postoperative and has a chest tube in place attached to a closed-chest water-seal drainage system. The nurse should observe for which of the following indications of a problem in the drainage system? a. Constant bubbling in the suction-control chamber c. Continuous bubbling in the water-seal chamber Indicative of an air leak. Use rubber-tipped clamps to try and locate the leak, clamping the tube momentarily at various points. A nurse is preparing to transport to radiology a patient who has a chest tube and a closed-chest wet-suction drainage system. The provider allows disconnecting the drainage system from the suction source during transportation. Which of the following must the nurse do when detaching the suction source? a. Clamp the chest tube b. Make sure the air vent is open Some closed-chest drainage systems and suction devices contain a vent from the water-seal chamber. This allows the drainage unit to remain vented without suction. So, the nurse should make sure this exit vent is open when disconnecting the suction source. Other systems allow air to exit through the suction-control tubing. With these systems, the nurse should keep the suction-control tubing uncapped and free from occlusion to prevent a buildup of air inside the pleural cavity. A nurse is planning education for a patient who has a chest tube in place attached to a closed-chest drainage system following surgery for lung cancer. Which of the following should the nurse emphasize to the patient when he is ready to ambulate freely? a. Disconnect the system when showering c. Keep the collection device upright at all times When providing care for a patient who has a chest tube in place attached to a closed-chest drainage system, the nurse accidentally disconnects the chest tube from the system. Which of the following should the nurse do to prevent a serious complication while preparing to reconnect the system? a. Gently milk the chest tube in a proximal-to-distal direction. b. Submerge the end of the chest tube in 1 inch of sterile water This action creates a water seal and prevents air from entering the pleural space through the open end of the chest tube when the patient inhales. A nurse is caring for a patient who has a chest tube in place attached to water-seal drainage. Which of the following observations about the drainage should be reported if found 5 hr after insertion? a. About 150 mL/hr over the past 2 hr a. About 150 mL/hr over the past 2 hr After the first few hours, the nurse should report drainage that exceeds 70 mL/hr. Patients who lose as much as 100 mL of blood every 15 min might require autotransfusion within 6 hr. The nurse should expect 100 to 300 mL of fluid during the first 3 hr after pleural insertion of a chest tube. Since this is 2 hr after that, this amount of drainage is within the expected reference range. A nurse is assessing a patient who has a chest-tube in place attached to a closed-chest water-seal drainage system. When the nurse palpates the area around the chest-tube insertion site, she is checking for a. increasing drainage d. subcutaneous emphysema Palpating the area surrounding the insertion site helps identify crepitus, a dry, crackling, or grating sound. This is the classic manifestation of subcutaneous emphysema, which indicates that air is leaking into the subcutaneous tissue surrounding the chest-tube insertion site. Students also viewedATI closed-chest pretest8 terms Brooke_Grajczyk lecture 3 ati Q's64 terms Jocelyne1111 Respiratory34 terms bexmano Chest Tubes29 terms bdeadder Sets found in the same folderATI pulmonary questions25 terms amanda2186 Chapter 28: Med Surg14 terms lolofofoPlus ATI Renal20 terms taylor_fallet Assignment #3 PART 237 terms TenJ17Plus Other sets by this creatorDaVita49 terms natalie_reed41 VA Hospital16 terms natalie_reed41 PBI questions101 terms natalie_reed41 Unit 1012 terms natalie_reed41 Verified questions
physics A horse whose mass is M gallops at constant speed v up a long hill whose vertical height is h, taking an amount of time t to reach the top. The horse's hooves do not slip on the rocky ground, so the work done by the force of the ground on the hooves is zero (no displacement of the force). When the horse started running, its temperature rose quickly to a point at which from then on, heat transferred from the horse to the air keeps the horse's temperature constant. First consider the horse as the system of interest. In the initial state the horse is already moving at speed v. In the final state the horse is at the top of the hill, still moving at speed v. Write out the Energy Principle $\Delta E_\text{sys} = W+Q$ for the system of the horse alone. The terms on the left-hand side should include only energy changes for the system, while the terms on the right-hand side should relate to the surroundings (everything else). Which of the terms are equal to 0? Which of the terms should go on the system (left) side $\left(\Delta E_\text{sys}\right)$? Which of the terms should go on the surroundings (right) side? Verified answer
biology Describe the cytopathic effects of viruses and the possible results of persistent viral infections. Verified answer
engineering During evaporation from a water body to air, under what conditions will the latent heat of vaporization be equal to the heat transfer from the air? Verified answer
physics bundles of axons from ganglion cells make up the...? Verified answer Recommended textbook solutions
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What is normal output for chest tube?The chest tube can be discontinued once no air leak is visualized, output is serosanguinous with no signs of bleeding, output is less than 150 cc to 400 cc over a 24-hour period (this range is wide because it is debatable among researchers), nonexistent or stable mild pneumothorax on chest x-ray, and the patient is ...
What should you assess after chest tube insertion?Drain insertion site and dressing assessment:. Check that the dressing is clean and intact.. Assess for any ooze, bleeding or signs of infection/inflammation every hour and document this within EMR: ... . Observe that the sutures remain intact and secure (particularly long term drains where sutures may erode over time). What is the physiologic goal of insertion of a chest tube quizlet?1. What is the physiologic goal of chest tube insertion? Rationale: Chest tubes are inserted into the pleural space to restore negative pressure and reestablish lung expansion. Positive-pressure ventilation is used with mechanical ventilation.
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What is a normal expected outcome following insertion of a chest tube quizlet?
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