NUR 240 UNIT 2 EXAM questions with
|\ |\ |\ |\ |\ |\ |\
answers
A patient experienced a near-drowning episode and
|\ |\ |\ |\ |\ |\ |\
presents with crackles, and SOB. He is receiving 100% O2
|\ |\ |\ |\ |\ |\ |\ |\ |\
via NRB. His ABGs reveal: pH 7.28; PCO2 52; PO2 52;
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bicarb 22 and O2 sat is 80. You should prepare for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
______________ - CORRECT ANSWERS ✔✔intubation |\ |\ |\ |\
You visualize ______________ in the chest tube collection
|\ |\ |\ |\ |\ |\ |\ |\
chamber, indicating that there may be an air leak -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔bubbling |\ |\
true or false: |\ |\
pain is expected with chest tube insertion - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔true |\
Your patient's chest tube becomes dislodged. Your priority
|\ |\ |\ |\ |\ |\ |\
would be to:
|\ |\ |\
A. obtain patient's pulse ox
|\ |\ |\ |\
B. call for help and place open end of chest tube into
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sterile water |\
,C. obtain a new drainage kit
|\ |\ |\ |\ |\
D. get a chest xray
|\ |\ |\ |\
E. call the physician - CORRECT ANSWERS ✔✔B
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When caring for a chest tube, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
______________ all connections to ensure that the system is |\ |\ |\ |\ |\ |\ |\ |\
airtight and to prevent the chest tubing from accidentally
|\ |\ |\ |\ |\ |\ |\ |\ |\
disconnecting - CORRECT ANSWERS ✔✔tape
|\ |\ |\ |\ |\
The nurse should expect bubbling in the ______________
|\ |\ |\ |\ |\ |\ |\ |\
______________ chamber of a chest tube on forced |\ |\ |\ |\ |\ |\ |\ |\
expiration or coughing, which is an indication that the
|\ |\ |\ |\ |\ |\ |\ |\ |\
system is working properly - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔water seal |\
The nurse should ensure that the chest tube drainage
|\ |\ |\ |\ |\ |\ |\ |\ |\
system is ______________ the level of the chest at all times
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to facilitate proper drainage by gravity
|\ |\ |\ |\ |\
A. above
|\
B. below - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\
True or false: |\ |\
,The nurse caring for a patient with a chest tube should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not empty the collection chamber or change the system
|\ |\ |\ |\ |\ |\ |\ |\ |\
unless it is almost full - CORRECT ANSWERS ✔✔true
|\ |\ |\ |\ |\ |\ |\ |\
a ______________ is a removal of fluid from the pleural
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
space with a large bore needle - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔thoracentesis
true or false: |\ |\
When preparing a client for a thoracentesis, the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
should have the client sit on the edge of the bed and lean
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
forward over the bedside table because this position
|\ |\ |\ |\ |\ |\ |\ |\ |\
maximizes the space between the client's ribs and allows |\ |\ |\ |\ |\ |\ |\ |\ |\
for aspiration of accumulated fluid and air - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔true |\
a complication of a thoracentesis includes a(n)
|\ |\ |\ |\ |\ |\ |\
______________ - CORRECT ANSWERS ✔✔pneumothorax |\ |\ |\ |\
true or false: |\ |\
when performing a thoracentesis, there should be a chest
|\ |\ |\ |\ |\ |\ |\ |\
tube drainage system and emergency respiratory
|\ |\ |\ |\ |\ |\ |\
, equipment available at the bedside - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔true
true or false
|\ |\
crackles are a sign of pneumothorax - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔false |\
true or false
|\ |\
pneumonia is a sign of pneumothorax - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔false |\
true or false
|\ |\
sharp pain, inability to breathe and anxiety are signs of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pneumothorax - CORRECT ANSWERS ✔✔true |\ |\ |\ |\
true or false
|\ |\
JVD is a sign of a pneumothorax - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔true
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answers
A patient experienced a near-drowning episode and
|\ |\ |\ |\ |\ |\ |\
presents with crackles, and SOB. He is receiving 100% O2
|\ |\ |\ |\ |\ |\ |\ |\ |\
via NRB. His ABGs reveal: pH 7.28; PCO2 52; PO2 52;
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bicarb 22 and O2 sat is 80. You should prepare for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
______________ - CORRECT ANSWERS ✔✔intubation |\ |\ |\ |\
You visualize ______________ in the chest tube collection
|\ |\ |\ |\ |\ |\ |\ |\
chamber, indicating that there may be an air leak -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔bubbling |\ |\
true or false: |\ |\
pain is expected with chest tube insertion - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔true |\
Your patient's chest tube becomes dislodged. Your priority
|\ |\ |\ |\ |\ |\ |\
would be to:
|\ |\ |\
A. obtain patient's pulse ox
|\ |\ |\ |\
B. call for help and place open end of chest tube into
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sterile water |\
,C. obtain a new drainage kit
|\ |\ |\ |\ |\
D. get a chest xray
|\ |\ |\ |\
E. call the physician - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\
When caring for a chest tube, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
______________ all connections to ensure that the system is |\ |\ |\ |\ |\ |\ |\ |\
airtight and to prevent the chest tubing from accidentally
|\ |\ |\ |\ |\ |\ |\ |\ |\
disconnecting - CORRECT ANSWERS ✔✔tape
|\ |\ |\ |\ |\
The nurse should expect bubbling in the ______________
|\ |\ |\ |\ |\ |\ |\ |\
______________ chamber of a chest tube on forced |\ |\ |\ |\ |\ |\ |\ |\
expiration or coughing, which is an indication that the
|\ |\ |\ |\ |\ |\ |\ |\ |\
system is working properly - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔water seal |\
The nurse should ensure that the chest tube drainage
|\ |\ |\ |\ |\ |\ |\ |\ |\
system is ______________ the level of the chest at all times
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to facilitate proper drainage by gravity
|\ |\ |\ |\ |\
A. above
|\
B. below - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\
True or false: |\ |\
,The nurse caring for a patient with a chest tube should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not empty the collection chamber or change the system
|\ |\ |\ |\ |\ |\ |\ |\ |\
unless it is almost full - CORRECT ANSWERS ✔✔true
|\ |\ |\ |\ |\ |\ |\ |\
a ______________ is a removal of fluid from the pleural
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
space with a large bore needle - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔thoracentesis
true or false: |\ |\
When preparing a client for a thoracentesis, the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
should have the client sit on the edge of the bed and lean
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
forward over the bedside table because this position
|\ |\ |\ |\ |\ |\ |\ |\ |\
maximizes the space between the client's ribs and allows |\ |\ |\ |\ |\ |\ |\ |\ |\
for aspiration of accumulated fluid and air - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔true |\
a complication of a thoracentesis includes a(n)
|\ |\ |\ |\ |\ |\ |\
______________ - CORRECT ANSWERS ✔✔pneumothorax |\ |\ |\ |\
true or false: |\ |\
when performing a thoracentesis, there should be a chest
|\ |\ |\ |\ |\ |\ |\ |\
tube drainage system and emergency respiratory
|\ |\ |\ |\ |\ |\ |\
, equipment available at the bedside - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔true
true or false
|\ |\
crackles are a sign of pneumothorax - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔false |\
true or false
|\ |\
pneumonia is a sign of pneumothorax - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔false |\
true or false
|\ |\
sharp pain, inability to breathe and anxiety are signs of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pneumothorax - CORRECT ANSWERS ✔✔true |\ |\ |\ |\
true or false
|\ |\
JVD is a sign of a pneumothorax - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔true
