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NMNC 4335 - Gas
Exchange
0/5
, NMNC 4335 - Gas Exchange
1. Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system
for a pneumothorax?
SATA
1 Emptying the drainage system when full
2 Keeping the drainage system at heart level
3 Notifying the health care provider of drainage greater than 50 mL/h
4 Marking the time on the drainage unit every shift
5 Laying the drainage system on its side during transport: 4 Marking the time on the drainage unit every shift
2. When caring for a client who has hemopneumothorax and a chest tube, which prescribed action by the health care provider would
the nurse question?
1 Autotransfuse the blood in the collection chamber after 6 hours.
2 Disconnect the drainage system from suction to ambulate the client. 3 Add sterile water to the suction control chamber to
maintain 20 cm of suction.
4 Use a dressing impregnated with petroleum jelly around the chest tube insertion site.: 1 Autotransfuse the blood in the collection
chamber after 6 hours.
3. Which actions will the nurse include in the plan of care for a client with a left pneumothorax who has a chest tube in place? SATA
1 Immobilize the left arm in a sling.
2 Check the water-seal chamber for air bubbling.
3 Avoid use of nonsteroidal anti-inflammatory drugs. 4 Keep the client on bed rest in semi-Fowler position.
5 Observe frequently for drainage in the collection chamber.
6 Assist the client to cough and deep breathe every hour while awake.: 2 Check the water-seal chamber for air bubbling.
6 Assist the client to cough and deep breathe every hour while awake.
4. Which finding best indicates that the chest tube for a client with a pneumothorax may be discontinued?
1 Clear breath sounds heard in both lungs
2 Oxygen saturation reading is higher than 90%
1/5
NMNC 4335 - Gas
Exchange
0/5
, NMNC 4335 - Gas Exchange
1. Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system
for a pneumothorax?
SATA
1 Emptying the drainage system when full
2 Keeping the drainage system at heart level
3 Notifying the health care provider of drainage greater than 50 mL/h
4 Marking the time on the drainage unit every shift
5 Laying the drainage system on its side during transport: 4 Marking the time on the drainage unit every shift
2. When caring for a client who has hemopneumothorax and a chest tube, which prescribed action by the health care provider would
the nurse question?
1 Autotransfuse the blood in the collection chamber after 6 hours.
2 Disconnect the drainage system from suction to ambulate the client. 3 Add sterile water to the suction control chamber to
maintain 20 cm of suction.
4 Use a dressing impregnated with petroleum jelly around the chest tube insertion site.: 1 Autotransfuse the blood in the collection
chamber after 6 hours.
3. Which actions will the nurse include in the plan of care for a client with a left pneumothorax who has a chest tube in place? SATA
1 Immobilize the left arm in a sling.
2 Check the water-seal chamber for air bubbling.
3 Avoid use of nonsteroidal anti-inflammatory drugs. 4 Keep the client on bed rest in semi-Fowler position.
5 Observe frequently for drainage in the collection chamber.
6 Assist the client to cough and deep breathe every hour while awake.: 2 Check the water-seal chamber for air bubbling.
6 Assist the client to cough and deep breathe every hour while awake.
4. Which finding best indicates that the chest tube for a client with a pneumothorax may be discontinued?
1 Clear breath sounds heard in both lungs
2 Oxygen saturation reading is higher than 90%
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