A nurse cares for a client who has a pleural chest tube. Which action should the nurse take to ensure safe use of this equipment?
a. Strip the tubing to minimize clot formation and ensure patency.
b. Secure tubing junctions with clamps to prevent accidental disconnections.
c. Connect the chest tube to wall suction at the level prescribed by the provider.
d. Keep padded clamps at the bedside for use if the drainage system is interrupted.
ANS: D
Padded clamps should be kept at the bedside for use if the drainage system becomes dislodged or is interrupted. The nurse should never strip the tubing. Tubing junctions should be taped, not clamped. Wall suction should be set at the level indicated by the device's manufacturer, not the provider.
You might also like to view...
A nurse is assessing an infant for the most common type of anemia worldwide. What action by the nurse is most helpful?
A. Assess if formula is iron-fortified. B. Determine family history of anemia. C. Look at mucous membranes for pallor. D. Perform range of motion on the hips.
As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset
When you ask her if something is wrong, she becomes tearful and says, "Why is it that when John and I work together in giving patients care, he jokes about my being "a little fat Mexican"? The nurse man-ager's best response is, "Do you think he: a. Is sensitive to your culture?" b. Wants to learn more about you?" c. Has been hurt and wants to hurt others?" d. Is stereotyping you without thinking?"
he nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE). What does the nurse understand about the etiology and pathogenesis of this condition? Select all that apply.
A) Clinical manifestations are mediated by antibody formation and the creation of immune complexes (IC). B) Lupus is more common in men than in women. C) Lupus can be drug-induced by the body's overreaction to medications such as isoniazid, hydralazine, and procainamide. D) It is most common in individuals of Hispanic and Latino descent. E) The rate ICs are cleared in the liver and spleen are believed to be impaired in SLE.
The nurse is trying to access the best insertion site on a patient. Which principle would the nurse use to achieve this goal?
a. Avoid using soft, bouncy veins. b. Choose the patient's best proximal vein. c. Choose a site large enough for adequate blood flow. d. Always use the smallest-gauge intravenous (IV) catheter available.