There are various types of thoracic surgeries done for different reasons. A client may have a thoracentesis to drain blood, air, or other fluid from the chest. They may have a tumor removed, a lung resected, or foreign objects removed
Sometimes, a chest tube will be placed in the thoracic cavity to drain secretions.
a. What should the nurse be aware of in caring for chest tubes on a client who underwent thoracic surgery?
b. What are the steps to follow when there is a leak in the system?
Students' answers should include the following:
a. Discussion should include patent drainage, no kinks, no air leaks, attached to water seal, and no bleeding around the insertion site among other things.
b. Included in the discussion should be how to clamp the disconnected tubes to prevent air leaks, risks of the leaks to the client, and follow up to reconnect.
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During an examination, the nurse notices that a patient's legs turn white when they are raised above the patient's head. The nurse should suspect:
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous insufficiency.
In assisting with the two factors that have an effect on fetal status, namely, pushing and positioning, nurses should:
1. encourage the woman's cooperation in avoiding the supine position. 2. advise avoiding the semi-Fowler position. 3. encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response. 4. instruct the woman to open her mouth and close her glottis, letting air escape after the push.
The nurse receives an order to administer prochlorperazine (Compazine) to a client with nausea. The nurse can administer the medication by which routes?
Standard Text: Select all that apply. 1. By mouth 2. Per rectum 3. Intramuscularly (IM) 4. Subcutaneously (SQ) 5. Intravenously
Which concept is “concrete” and can be addressed by a middle range theory
a. nursing b. environment c. health d. fall prevention