MED SURG > EXAM > MED SURG FINAL EXAM 159 STUDY QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS | RATED A+ (All)

MED SURG FINAL EXAM 159 STUDY QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS | RATED A+

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MED SURG FINAL EXAM 159 STUDY QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS | RATED A+ 1. A client with unresolved hemothorax is febrile, with chills and sweating. He has a nonproductive cough and chest pain. His chest tube drainage is turbid. What should the nurse request in SBAR communication with the health care provider? Portable chest X-ray Antibiotic therapy Intubation and mechanical ventilation Arterial blood gasses - Answer>>> Antibiotic therapy Any condition that produces fluid accumulation or sequestration of fluid with infective properties can lead to empyema, an accumulation of pus in a body cavity, especially the pleural space, as a result of bacterial infection. An infected chest tube site, lobar pneumonia, and P. carinii pneumonia can lead to fever, chills, and sweating associated with infection. With the symptoms of infection, antibiotic therapy would be recommended. Nothing in the question demonstrates a need for chest X-ray, intubation, or ABGs. 2. A client has a chest tube inserted for the treatment of a pneumothorax. While turning in the bed, the client dislodges the tube and it is found in the bed. As the registered nurse is directing the health care team, place the actions of the registered nurse in the correct order. All options must be used. - Answer>>> Apply an occlusive dressing over the puncture site Tape the dressing on three sides Direct the licensed practical/vocational nurse (LPN/VN) to notify the health care provider. Assess the client's respiratory status. Assess vital signs and await further medical orders A chest tube is a flexible, hollow tube placed through the chest wall and in to the pleural space. The chest tube is able to relieve trapped air and fluid. If a chest tube is dislodged and comes out, the nurse would immediately apply an occlusive dressing such as Vaseline gauze (many times kept in the client's room). The dressing is taped on three sides. The first action always focuses on the client. The nurse would direct another licensed nurse to immediately notify the health care provider. The nurse would then assess the respiratory status. The nurse would obtain vital signs and await further orders. 3. After having a lobectomy for lung cancer, a client receives a chest tube connected to a threechamber chest drainage system. The nurse observes that the drainage system is functioning correctly when noting which of the following? Select all that apply. Fluctuations in the water-seal chamber occur when the client breathes. Crepitus forms at the chest tube insertion site. Intermittent bubbling occurs in the water-seal chamber. Gentle bubbling occurs in the suction control chamber. Drainage is collecting in the drainage chamber. - Answer>>> Fluctuations in the water-seal chamber occur when the client breathes. Intermittent bubbling occurs in the water-seal chamber. Gentle bubbling occurs in the suction control chamber. Drainage is collecting in the drainage chamber. Fluctuations in the water-seal compartment (or tidal movements) indicate normal function of the system as the pressure in the tubing changes with the client's respirations. There also should be intermittent bubbling in the water-seal chamber, indicating that air is being removed from the pleural cavity by the system. Gentle bubbling in the suction control chamber indicates that the proper suction level has been reached. Drainage is expected to collect in the drainage chamber after a lobectomy. Crepitus indicates that air is leaking into the subcutaneous tissues. The physician should be notified of this finding.

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