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chest tube questions

by: Brenna Notetaker

chest tube questions nurs 3370

Marketplace > East Carolina University > nurs 3370 > chest tube questions
Brenna Notetaker
GPA 3.4

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test 2 practice questions on chest tubes
Dr. Cherry
Study Guide
nursing foundations, chest tubes
50 ?




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This 4 page Study Guide was uploaded by Brenna Notetaker on Wednesday February 3, 2016. The Study Guide belongs to nurs 3370 at East Carolina University taught by Dr. Cherry in Spring 2015. Since its upload, it has received 32 views.


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Date Created: 02/03/16
Chest Tubes Answers are highlighted 1. Breathing is regulated centrally by chemoreceptors located in the a. Diaphragm b. Pons and medulla c. Lungs d. Cerebrum 2. What structure is not located within the mediastinum a. Heart b. Bronchus c. Larynx d. Trachea 3. When negative pressure is lost within the pleural space the result is a. Arrest b. Respiratory failure c. Bleeding d. Lung collapse 4. Which of the following is not a benefit of autotransfusion a. Compatible with the patient b. Difficult to collect c. Performed by a nurse d. Oxygen carrying capacity better than banked blood. 5. Which of the following is not an iatrogenic cause of a pneumothorax a. Swan­Ganz catheter placement b. Bronchoscopy c. Mechanical ventilation d. Gunshot wound 6. Movement back and forth within the air leak chamber during inhalation and exhalation is  known as a. Pneumothorax b. Air leak c. Loss of suction source d. Tidaling 7. You are caring for a confused patient in the intensive care unit. His oxygen is out of place  and he hands you his chest tube. You notice that the air holes of the chest tube are exposed  and sucking wound is visible. What is the most appropriate nursing action? a. Place an occlusive dressing b. Obtain a new chest tube and drainage unit c. Place X4 dressing d. Medicate for anxiety as ordered 8. Your shift has just begun. As you assess your patient you observe vigorous bubbling in the  air leak chamber of the drainage unit. Further assessment reveals subcutaneous crepitus  palpable on the left upper chest and the patient is complaining of pain. Breath sounds are also absent in the left upper chest. You know that this is a. Normal for this patient b. A pneumothorax c. Cardiac tamponade d. A tension pneumothorax 9. A multiple trauma patient has been admitted to the intensive care to you. As the nurse, you  were told that there was a chest tube placed due to left hemothorax that was confirmed by  chest X­ray. He is intubated and being Ambu­bagged with great difficulty. Pending lab  values. His blood pressure on admit was 70/40. He is tachycardic at 140 BPM and fluids are  infusing. His trachea is not midline and you are having difficulty ventilating the patient. You  assess that there are no breath sounds on the right side of the chest. You suspect a. Cardiac tamponade b. Tension pneumothorax c. Poor endotracheal tube placement d. Hemothorax 10. You are unable to place a peripheral intravenous line on a newly admitted obese patient. The  physician comes to the hospital and places a central venous line. A portable chest x­ray is  taken. Over the next two hours your patient complains of shortness of breath and oxygen  saturation is 90% on room air. You contact the physician with your findings and suspect a. Hemothorax b. Tension pneumothorax c. Pneumothorax d. Intravenous infiltration 11. A new chest tube was placed by a physician at the bedside and connected to a drainage unit  with suction. Your nursing documentation should include a. The amount of the drainage collected upon insertion b. Presence or absence of an air leak c. Tidaling d. All of the above 12. Fluid that causes compression of the lung tissue and now occupies space previously filled by  the expanded lung is known as a a. Pneumothorax b. Hemothorax c. Chylothorax d. Pleural effusion 13. A physician, to alleviate a pneumothorax, placed a small bore catheter. A one way valve was  applied to the end of the catheter tubing. This one way valve is known as a _______valve. a. ________ valve b. Re­expansion c. Decompression d. Heimlich 14. Air entering the pleural space when an opening at the outer chest wall is known as? a. Closed pneumothorax b. Tamponade c. Open pneumothorax d. Pneumothorax 15. Signs and symptoms of a tamponade may include a. Neck vein distension b. Tachycardia c. Decreased blood pressure d. All of the above 16. Collection of free air or gas within the tissue under the skin is known as a. Purulent b. Serous c. Oxygen d. Subcutaneous emphysema 17. Intrapleural pressure is a. Usually below atmospheric pressure b. Above atmospheric pressure c. Equal to atmospheric pressure d. None of the above 18. You as the nurse know that chest tube placement is a sterile procedure. You inadvertently  break the sterile field holding the patient’s arm. You need to a. Alert the physician b. Do nothing and continue to assist c. Medicate the patient so it does not happen again d. Tell your co­workers so they can assist with the procedure 19. Clamping chest tube when moving the patient is a. Always done b. Never done c. Sometimes done d. Widely accepted in nursing practice. 20. An increase of chest tube drain from a patient who is postoperative chest surgery of over  100cc in an hour is an increased amount and a physician must be notified. You know that a. This may go away in a few minutes b. Not too important as the patient was vigorously coughing c. Continued increases at this rate could return the patient to surgery for further intervention d. None of the above 21. A disposable drainage unit uses the same principles as the bottle system a. The first chamber is the collection chamber b. The second chamber is the water seal chamber c. The third chamber is the suction source d. All of the above 22. When a chest tube clamp is placed between the air leak and the water seal chamber, the  bubbling has ceased. This means that the leak is a. Absent b. Isolated c. Present at the drainage unit d. Within the patient, and you need more suction 23. A patient with a chest tube must be taught to a. Never kink or pull on the tubing b. Continue to cough and deep breath c. Notify the nurse of discomforts d. All of the above 24. The responsibility of the nurse caring for a patient with a chest tube is to a. Maintain an intact and patent pleural drainage system b. Discontinue to system c. Acknowledge the suction amount d. Tell the patient that everything is as it should be 25. Your patient is returned to bed with your assistance. The chest drainage unit is knocked over. You as the nurse know a. It is not a problem, forget it happened b. Return the unit to the upright position, mark the drainage, and continue to monitor c. Change the drainage unit d. Notify the physician there is a problem


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