When assisting the health care provider with removal of the chest tube, which instruction does the nurse provide to the client during this procedure?
1. Breathe normally
2. Hold still
3. Hold breath
4. Cough
Correct Answer: 3
The client should be instructed to hold his breath to prevent air from leaking into the pleural space while the tube is removed until an airtight seal can be applied using petroleum gauze. The other actions are incorrect.
You might also like to view...
While children voice concern about their father living alone after having a mild stroke that resulted in only minimal disability, the patient angrily disagrees, stating that he's always managed on his own and can do so now
The nurse can be most helpful to this family by: a. assuring them that their father's physical limitations should not cause a safety issue. b. assisting them in identifying how they can help their father to live independently. c. offering to arrange a social service consult to arbitrate the conflict. d. suggesting that the patient accept the ser-vices of a home care aide on a short-term trial basis.
Hydrotherapy before the debridement of a wound is done to soften tissue and to:
a. get rid of dead skin so debridement will be faster b. make the area sterile c. soothe the nerves in the area d. improve circulation to the wound
The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?
a. Bring the infant to the mother and initiate breastfeeding. b. Place a nasogastric tube and administer 5% dextrose water. c. Start a peripheral intravenous line and administer 10% dextrose. d. Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.
The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing
Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the fol-lowing statements are true, what would be the best answer? a. "I'm definitely interested in oncology, and I think I'm a hard worker. My instructor said I was developing empathy. My grade point average of C doesn't reflect my real ability.". b. "My previous employer rated my work as excellent. It was there that I became in-terested in helping support oncology pa-tients as they cope with their illness. I chose to do independent study on emo-tional reactions to the diagnosis of cancer and received an A.". c. "I worked full time while going to school, so my grades suffered. I've had my share of life's disappointments, so I can sym-pathize with cancer patients. I will work hard, but I have to make time for my fam-ily, too.". d. "I'm interested. My parents always told me I was bright. I work as hard as the next person. I've learned not to get too in-volved with patients.".