A nurse is explaining a chest tube to family members who do not understand where it is placed. What would the nurse tell them?
A) "It is inserted into the space between the lining of the lungs and the ribs."
B) "I don't exactly know, but I will make sure the doctor comes to explain."
C) "It is inserted directly into the lung itself, connecting to a lung airway."
D) "It is inserted into the peritoneal space and drains into the lungs."
Ans: A
A chest tube is a firm plastic tube with drainage holes in the proximal end that is inserted into the pleural space, thus allowing compressed lung tissue to re-expand.
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A patient is admitted to the unit after an automobile accident. The nurse begins the mental status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's best approach regarding this examination is to:
a. Plan to defer the rest of the mental status examination. b. Skip the language portion of the examination, and proceed onto assessing mood and affect. c. Conduct an in-depth speech evaluation, and defer the mental status examination to another time. d. Proceed with the examination, and assess the patient for suicidal thoughts because dysarthria is often accompanied by severe depression.
In preparation for a bone scan, the nurse informs the patient that:
A) The test is brief and requires that you drink an IV contrast solution. B) You will not be allowed fluid for 2 hours before and 3 hours after the test. C) Fluids will be encouraged after the administration of the radioisotope injection. D) There are no contraindications for this test.
What dose is within the acceptable range for administering IV phenytoin (Dilantin) to a patient with a seizure disorder?
a. 5 mg/min b. 30 mg/min c. 60 mg/min d. 100 mg/min
What does the nurse explains to parents of a child with febrile seizures?
a. They occur when the body temperature exceeds 38.3 ° C (101 ° F). b. They can be prevented by anticonvulsant medication. c. They usually lead to the development of epilepsy. d. They occur when the temperature rises quickly.