What should the nurse do to keep the chest tubes from becoming occluded?

a. Irrigate tubes as needed
b. Prevent dependent loops
c. Loop the tube over the bed rail
d. "Milk" the tube frequently


ANS: B
To keep the tubes patent, the tubes should be kept straight without dependent loops. These tubes are not irrigated and should not be milked frequently.

Nursing

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During the physical assessment of a 12-year-old child who sustained injuries in a bicycle fall, the nurse observes an area near the elbow that has been rubbed away by friction. How should the nurse document this finding?

A) Wound B) Abrasion C) Laceration D) Ulcer

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Most barbiturates are considered nonselective CNS depressants. The major exception is:

a. phenobarbital. b. thiopental. c. secobarbital. d. butabarbital.

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A male client is scheduled for radical bladder surgery for advanced cancer. He appears very anxious and is making sexually inappropriate jokes to the nursing staff. The most appropriate nursing diagnosis for this client is

a. Fear related to threat to biologic integrity b. Impaired coping related to poorly-developed coping mechanisms c. Knowledge deficit related to amount of pre-operative education needed d. Risk for Disturbed body image related to possible sexual dysfunction

Nursing

Sodium hypochlorite solution (Dakin's solution) is used as for wound irrigation or packing. The nurse knows this solution:

a. may touch healthy tissue for brief periods of time. b. has little effect on healing of injured tissues. c. supports healing of surgical wounds. d. may delay the clotting process.

Nursing