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
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct...
A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene? a. Pre-oxygenates with 100% oxygen.b. Applies suction during catheter removalc. Auscultates breath soundsd. Suctions for 30 seconds.
a nurse is caring for a client who has a right-sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly. Gentle bubbling in the suction chamber crepitus around the insertion site. Constant bubbling in the water seal chamber. Absence of breath sounds on the right side.
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which of the following findings should indicate to the nurse that the client's airway requires suctioning? a. Pulse ox saturation of 94% b. Rhonchi noted upon auscultation c. decreased peak airway inspiratory pressure d. low pressure alarm sounding on the ventilator 2. The nurse is teaching a client about PICC line. Which of the following statements by the nurse is correct? a. The procedure will...
13.Until a physician can see the client, which suggestion should the nurse offer to provide some relief from the symptoms GERD? a. Eat three large meals a day b. Drink caffeinated beverages to promote peristalsis c. Lie flat after eating d. Avoid acidic foods such as tomatoes and orange juice 14. The client diagnosed with end-stage liver failure is admitted with hepatic encephalopathy. Which of the following nursing intervention should be implemented by the nurse to address this complication? a....
. The nurse has just receive the shift report and is preparing to make rounds. Which client should be seen first? A. The client with a history of a cerebral aneurysm with oxygen saturation rate of 99% B. The client three days post-coronary artery bypass graft with temperature of 100.3 degree F. C. The client admitted 1 hour ago with shortness of breath. D. The client being prepared for discharge following a femoral politeal bypass gra
C. Emphysema D. Chronic bronchitis Q28. The morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week even though his oral intake has been modest. The client's weight gain may reflect which of the following? A. Polycythemia B. Cor pulmonale C. Left ventricular failure D. Compensated acidosis 029. A client with an asthma exacerbation has been using her albuterol rescue inhaler 10-12 times a day because she cannot take a...
A pulmonary artery catheter is inserted to montior the pulonary artery wedge pressure(PAWP). An arterial line is inserted in the left radial artery for continuous blood pressure monitoring and an NG tube is inserted and connected to low intermittent suction. ASSESSMENT DATA Restless needs frequent reminding not to pull on the ET tube or NG Scattered crackles audible bilaterally tube Urine output over 2 hours is 50 mL of clear amber urine Bowel sounds slightly hypoactive audible in 4 quadrants...
The nurse is planning to clean the inner cannula of client’s tracheostomy tube. The nurse should obtain which of the following? a) sterile normal saline b) hydrogen peroxide c) distilled water d) betadine solution
Please answer and give rationale 1. The nurse has a prescription for zofran 4 mg IV bolus. Identify the sequence the nurse should follow to prepare to administer the medication a. select the injection port of the IV tubing closes to the client b. cleanse the inject port with an antiseptic swab c. perform hand hygiene and apply gloves d. release the tubing and inject the medication e. occlude the IV lin by pinching the tubing above the injection port...