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concept of nursing 2

closed chest drainage systems:lesson 3

QuestionAnswer
The health care provider has removed the patient's chest tube. The health care provider then covers the site with occlusive petrolatum gauze. What is the purpose of this dressing? To prevent the entrance of air into the pleural cavity.
Which of the following are indications a patient is ready to have his chest tube removed? -Absence of tidaling for 24 hours. -Less than 50 mL of drainage in 24 hours -Resonance on percussion of lungs.
The nurse is preparing the equipment for removal of a chest tube. Which of the following would be unnecessary for this procedure? Sterile suction catheter, sterile normal saline, and sterile basin.
The nurse and an NAP are working together to care for a group of patients. Which of the following tasks would be most appropriate for the RN to delegate to the NAP? Positioning the patient either sitting or lying supine on the side opposite to that where the chest tube is placed.
To gain the patient's cooperation during the procedure, the nurse is instructing the patient regarding chest tube removal. The patient asks why he must exhale completely and hold it while bearing down while the chest tube is being removed. --
What is the nurse’s best response? “It prevents air from being sucked into the chest tube allowing the lung to collapse.”
A patient has just had a chest tube removed. Before the procedure, the patient received pain medication. The patient's vital signs at the time of receiving the pain medication were BP --
120/80, pulse rate 76, respiratory rate 20, pulse oximetry 95%, and temperature 98.1° F orally. The nurse reassesses the patient after the procedure. Which of the following would require notifying the health care provider? BP 100/60, pulse rate 96, respiratory rate 30, and pulse oximetry 90%.
Created by: Lightnning54
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