A nurse is explaining a chest tube to family members who do
A nurse is explaining a chest tube to family members who do not… A nurse is explaining a chest tube to family members who do not understand where it is placed. What would the nurse tell them? It is inserted into the space between the lining of the lungs and the ribs. I don’t exactly know, but I will make sure the doctor comes to explain. It is inserted directly into the lung itself, connecting to a lung airway. It is inserted into the peritoneal space and drains into the lungs.1 points 2What prevents air from re-entering the pleural space when chest tubes are inserted? the location of the tube insertion the sutures that hold in the tube a closed water-seal drainage system respiratory inspiration and expiration1 points 3The nurse is caring for a patient with a pneumothorax requiring a chest tube. The nurse anticipates the tube will be inserted between the: 4th or 5th intercostal space just anterior to the midaxillary line 4th or 5th intercostal space in the posterior axillary line 3rd or 4th intercostal space in the anterior axillary line 3rd or 4th intercostal space just anterior to the midaxillary line1 points 4The nurse maintains the integrity of the chest tube system and ensures proper drainage by performing all of the following except: observe for tidaling and intermittent bubbling in the water seal chamber secure and monitor all connection points to prevent any breaches clamp the tube before helping the patient to ambulate in the hall keep the tubing free of kinks, occlusions, and dependent loops1 points 5The patients chest tube drainage system has broken and needs to be replaced. The nurse should: disconnect the chest tube from the drainage system and submerge it in 1 to 2 inches in a bottle of sterile water to establish a water seal disconnect the chest tube from the drainage system and submerge it in 6 inches in a bottle of sterile water to establish a water seal clamp the tube for 30 minutes before replacing the drainage system unit clamp the tube for 20 minutes before replacing the drainage system unit1 points 6A patients hemathorax has resolved and the provider plans to remove the chest tube. The nurse should prepare the patient for removal by: placing the patient in a supine position asking the patient to avoid the Valsalva maneuver during removal placing the patient in a high fowler position teaching them to perform the Valsalva maneuver1 points 7Paracentesis is: x-rays of how contrast travels in lower GI x-rays of the esophagus, stomach and duodenum x-rays of the digestive tract through entire process, takes numerous pictures over 8 hours procedure that drains fluid from peritoneal cavity1 points 8Nursing implications to consider with paracentesis include: No iron for 1 week prior, Bowel prep: Go-Lytely+ Fleets enema+ clear liquids, NPO 6-8 hours before test,Cleansing enema day of test IV sedation, Throat anesthetized, NPO 8-12 hours before Void before procedure, Measure abdominal girth post procedure NPO 8-12 hours before, No smoking, CI in pregnancy, May take up to 5 hours for test1 points 9The nurse is preparing a client for a paracentesis. Which of the following activities would be appropriate before the procedure? Have the client void immediately before the procedure. Place the client in a side-lying position. Initiate an intravenous line to administer sedatives. Place client on NPO status 6 hours before the procedure1 points 10Which of the followingis the most important to ask a patient after paracentesis? “Are you light-headed?” “Are you having any chest pain?” “Do you need to go to the bathroom?” “Was that as scary as you thought it would be?” Health Science Science Nursing NURS 4003
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