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What does it mean when there is no longer tidaling with a chest tube? - CORRECT ANSWERS-
That the tube is ready to be taken out
Is constant bubbling with a chest tube good or bad? - CORRECT ANSWERS-Bad
Is crepidous supposed to be at the chest tube site? - CORRECT ANSWERS-No, but usually
resolves back into the body
What is crepidous? - CORRECT ANSWERS-Air bubbles in the subcutaneous tissue surrounding
chest tube site
How should a chest tube be observed for any issues? - CORRECT ANSWERS-From the patient to
the machine
What should be done when there is an obstruction in a chest tube and why? - CORRECT
ANSWERS-Milk the tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube? - CORRECT ANSWERS-Only with a
hemothorax
Is tidaling normal with a chest tube? - CORRECT ANSWERS-Yes, on respirations
What is the first thing the nurse should do if she suspects any issues with a patients chest tube? -
CORRECT ANSWERS-Make sure the chest tube connections are secure
What are the steps to a self breast exam? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Exercise, healthy diet (health maintenance)
Treatment for lymphedema? - CORRECT ANSWERS-Healthy diet, exercise, compression
stockings, good skin/nail care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions? - CORRECT ANSWERS-Avoid fresh fruits/veggies, no fresh
flowers, good hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Nausea, vomiting, anorexia, diarrhea,
skin breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Fatigue management for chemo? - CORRECT ANSWERS-Encourage moderate exercise as
tolerated, encourage rest when fatigued but to continue to maintain lifestyle patterns as much as
possible while pacing activities to energy level, and reassure that fatigue is a common side affect
Stages of cancer? - CORRECT ANSWERS-1-Initiation
2-Promotion-Can be reversed with lifestyle changes.
3-Latent
4-Progression