When caring for a client with a chest tube in place, the nurse maintains safety by keeping which items at the client's bedside at all times?
1. Bag and mask with oxygen supply
2. Two rubber-tipped clamps, gauze, and petroleum gauze
3. Emergency phone numbers
4. An extra chest tube of the same size inserted into the client
2
Rationale 1: A bag and mask should be kept at the bedside of any client with respiratory disorders.
Rationale 2: Two rubber-tipped clamps should be kept at the bedside in case the tube requires rapid clamping to prevent air from entering the pleural space. Gauze and petroleum gauze are kept close by to create an airtight seal should the chest tube accidentally be dislodged.
Rationale 3: Emergency phone numbers should be written on all facility phones.
Rationale 4: There would be no need to keep an extra chest tube at the bedside, because there would be time to obtain this while waiting for the health care provider to arrive.
Global Rationale: Two rubber-tipped clamps should be kept at the bedside in case the tube requires rapid clamping to prevent air from entering the pleural space. Gauze and petroleum gauze are kept close by to create an airtight seal should the chest tube accidentally be dislodged. A bag and mask should be kept at the bedside of any client with respiratory disorders. Emergency phone numbers should be written on all facility phones. There would be no need to keep an extra chest tube at the bedside, because there would be time to obtain this while waiting for the health care provider to arrive.
You might also like to view...
A hospitalized patient has a phosphorus level of 4.8 mg/dL. The nurse would review this patient's history for the presence of which conditions?
1. Chronic kidney failure 2. Hyperthyroidism 3. Recent cardiac surgery 4. Alcoholism 5. Treatment for gram-negative sepsis
A patient is being discharged with prescribed sublingual nitroglycerin. Which teaching points does the nurse include in the patient's care plan? (Select all that apply.)
a. Keep the tablet in place until it is dissolved. b. Swallow the tablet with a full glass of water. c. A tingling sensation means that the drug is potent. d. Do not eat anything until after the tablet is dissolved. e. Call your prescriber if chest pain persists after one tablet.
The nurse is showing respect for a client's right to autonomy regarding an invasive procedure by:
1. Obtaining consent for the procedure 2. Performing the procedure appropriately 3. Providing client education regarding the procedure 4. Being frank when discussing the pros and cons of the procedure
When applying a transfer belt,
A. fasten the belt in the back. B. apply the belt as loosely as possible. C. make sure the belt is below the breasts. D. slip one hand under the belt so it is not too tight.