Hondros Nur 212 exam 1
What should be done when there is an obstruction in a chest tube and why?
Milk the tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube?
Only with a hemothorax
Is tidaling normal with a chest tube?
Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube?
That the tube is ready to be taken out
Is constant bubbling with a chest tube good or bad?
Bad
Is crepidous supposed to be at the chest tube site?
No, but usually resolves back into the body
What is crepidous?
Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues?
From the patient to the machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube?
Make sure the chest tube connections are secure
, What are the steps to a self breast exam?
Step 1: Lie down and place left arm behind head (lying down spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast. Use
overlapping dime-sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel
each layers. (A firm ridge on the curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side from the
underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or
scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema?
Exercise, healthy diet (health maintenance)
Treatment for lymphedema?
Healthy diet, exercise, compression stockings, good skin/nail care, decongestive therapy, elevate
extremity, isometric exercises
What are neutropenic precautions?
Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia?
Most patients are asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising,
petechiae, purpura, and s\s of hemmorhaging.
Adverse affects of chemo/radiation?
Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction, nephrotoxicity,
neuropathy, anemia
Fatigue management for chemo?
What should be done when there is an obstruction in a chest tube and why?
Milk the tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube?
Only with a hemothorax
Is tidaling normal with a chest tube?
Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube?
That the tube is ready to be taken out
Is constant bubbling with a chest tube good or bad?
Bad
Is crepidous supposed to be at the chest tube site?
No, but usually resolves back into the body
What is crepidous?
Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues?
From the patient to the machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube?
Make sure the chest tube connections are secure
, What are the steps to a self breast exam?
Step 1: Lie down and place left arm behind head (lying down spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast. Use
overlapping dime-sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel
each layers. (A firm ridge on the curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side from the
underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or
scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema?
Exercise, healthy diet (health maintenance)
Treatment for lymphedema?
Healthy diet, exercise, compression stockings, good skin/nail care, decongestive therapy, elevate
extremity, isometric exercises
What are neutropenic precautions?
Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia?
Most patients are asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising,
petechiae, purpura, and s\s of hemmorhaging.
Adverse affects of chemo/radiation?
Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction, nephrotoxicity,
neuropathy, anemia
Fatigue management for chemo?
