The client asks the nurse to explain the reason for a chest tube insertion in treating a pneumothorax. Which is the best response by the nurse?
A) "Chest tube will allow air to be restored to the lung."
B) "The tube will drain secretions from the lung."
C) "Chest tubes provide a route for medication instillation to the lung."
D) "The tube will drain air from the space around the lung."
D
Feedback:
Negative pressure must be maintained in the pleural cavity for the lungs to be inflated. An injury that allows air into the pleural space will result in a collapse of the lung. The chest tube can be used to drain fluid and blood from the pleural cavity and to instill medication, such as talc, to the cavity.
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A client was brought to the hospital at two a.m. She had been drinking and she fell, fracturing her femur. If the client is going to experience withdrawal symptoms, the nurse should be alert for them to peak around which time?
1. 24–48 hours after drinking stops 2. 72–92 hours after drinking stops 3. 54–72 hours after drinking stops 4. 6–12 hours after drinking stops
Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 25 kilograms
1. 500 mL per day; 20.8 mL per hour 2. 170 mL per day; 7 mL per hour 3. 600 mL per day; 25 mL per hour 4. 1600 mL per day; 66 mL per hour
Which systemic feature is related to the effects of menopause?
a. Increased abdominal fat distribution b. Decreased LDL levels c. Cold intolerance d. Decreased cholesterol levels
The nurse caring for a child on palliative care would include in the plan of care to:
a. Distract the child when the child begins to talk about the impending death b. Encourage the child to discuss the illness c. Reassure the child that death will not hurt d. Deny that the child is dying