An appropriate technique is followed while providing care for a client with chest tubes when a nurse:
A. Applies an occlusive dressing over the site
B. "Strips" the tube on a regular basis
C. Assesses the client hourly after insertion
D. Keeps excess loops of tubing from hanging over the side of the bed
D
D. Coil excess tubing on mattress next to the client. Secure with a rubber band and safety pin or the system's clamp. Prevents excess tubing from hanging over the edge of the mattress in a dependent loop. Drainage could collect in the loop and occlude the drainage system.
A. Physician responsibility in chest tube placement includes covering the insertion site with sterile petroleum gauze, 4 × 4 inch gauze, and large dressing to form an occlusive dressing supported with an elastic bandage.
B. Strip or milk chest tube only if indicated (this means compressing the tube to encourage clots to press through the tube. Stripping may cause complications because it creates excessive negative intrapleural pressure.
C. Monitor vital signs, oxygen saturation, and insertion site every 15 minutes for the first 2 hours.
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While visiting the American Heart Association website, a client plays the animation of the heart at work. Which of the following was used to play the animation?
1. Browser 2. Search engine 3. Helper program 4. Plug-in
During the cardiac assessment of a client, the nurse hears a loud rumbling during diastole that increases toward the end of the sound. This sound is heard with the bell of the stethoscope over the lower left sternal border. The nurse would suspect which of the following in this client?
1. Aortic stenosis 2. Tricuspid stenosis 3. Mitral regurgitation 4. Pulmonic stenosis
The nurse admits the patient to the postanesthesia care unit (PACU) after hand surgery. The patient is groggy but can respond after receiving conscious sedation and regional anesthesia. Which action by the nurse is priority?
a. Position the head to maintain a patent airway. b. Elevate the affected hand higher than the level of the heart. c. Monitor the circulatory status in the oper-ative hand. d. Measure the core body temperature.
The client with Parkinson's disease prescribed carbidopa to be used in combination with levodopa asks the nurse why this has been prescribed. The nurse's best response would be:
a. "The carbidopa prevents levodopa breakdown, so you'll need less levodopa." b. "With an increase in your levodopa, the carbidopa will give you better relief of your symptoms." c. "The carbidopa increases the speed at which levodopa transforms into dopamine." d. "The carbidopa decreases the adverse effects of levodopa."