Question

28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay
38. For a patient with an endotracheal tube, which nursing action is most essential? A. Auscultating the lungs for bilateral
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Answer #1

28. A chest tube is inserted in many lung pathologies to drain excess fluid accumulated in pleural cavity.
When removing the chest tube, the nurse should ask the patient to perform valsava maneuver i.e. inhale and then exhale forcefully. This prevents pneumothorax.
All other options given are wrong instructions and can result in complications while removing chest tube.
Answer : option D.
29. When the tube gets dislodged the patient may find difficulty in breathing and the situation demands emergency response.
Calling the physician or respiratory therapist will delay the treatment, this options A and B are incorrect.
If the tracheostomy opening is covered by sterile dressing it will block the airway resulting in difficulty breathing. So option C is incorrect.
Grasping the retention suture to spread the opening will help in patient to breath easily. This is the correct option.
Answer : option D

30. Pneumothorax is the filling of air in the pleural cavity. Presence of air around the lungs causes reduced breath sounds.
Answer : option B.
31.  In Emphysema patient, the oxygen should be administered carefully. In emphysema long standing hypercapnia occurs and respiratory drive is stimulated in response to low oxygen levels instead of hogh CO2 levels.
The oxygen flow rate should not exceed over 2L/ min.
Answer : option C

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