QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS
Tidaling in water chamber of chest tube - CORRECT ANSWER--water going up and down
Water seal bubbling - CORRECT ANSWER--air leak
See no air leak - CORRECT ANSWER--have the patient deep breathe and cough
-if there is still no air leak: check the system for kinks
-if there is still no air leak: lung has sealed over and chest tube ready to come out
Steps when taking out chest tube - CORRECT ANSWER--notify provider or no air leak
-cross clamp chest tube
-Xray in 4 hours to see if pneumothorax developed
-unclamp when come back from Xray
-provider will let us know if it coming out
,-never leave the chest tube clamped when patient comes back
Complications of a Chest Tube: Tubing came apart - CORRECT ANSWER--place the end of the
tube in sterile water 1 inch deep and call the provider
Complications of a Chest Tube: Whole chest tube comes out - CORRECT ANSWER--cover with
sterile gauze and tape on 3 sides (venting dressing)
Complications of a Chest Tube: System air leak - CORRECT ANSWER--will see water bubbling
over to 5/6 number and profuse bubbling
-take two clamps and start high up on chest tube and walk down on chest tube until air has
stopped
-change the tube or call provider if in patient
Chest tube: What is mandatory to have in the room? - CORRECT ANSWER--2 clamps
-sterile water
-sterile gauze
-tape
Acute Hemolytic Reaction - CORRECT ANSWER-Reactions usually develop in first 15 min. Fever
with or without chills; low back, abdominal, chest or flank pain; flushing, tachycardia, dyspnea,
tachypnea, hypotension, vascular collapse, hemoglobinuria, acute jaundice, dark urine,
bleeding, acute kidney injury, shock, cardiac arrest, DIC, death
Fluid Overload Transfusion Reaction - CORRECT ANSWER-Cough, dyspnea, pulmonary
congestion, adventitious breath sounds, headache, hypertension, tachycardia, distended neck
veins
, Maintaining Airway in Trauma Patients - CORRECT ANSWER--jaw thrust maneuver for intubation
for cervical injury
-unresponsive patient with get an oral airway so tongue does not occlude airway
-log roll patient to the side so they do not vomit and aspirate
Unresponsive Patient - CORRECT ANSWER-CAB first
Types of Burns - CORRECT ANSWER--thermal
-chemical
-electrical
-inhalation
Thermal Burns - CORRECT ANSWER--concern: cardiovascular collapse due to burn shock
-use rule of 9's, parkland formula, how deep are burns
-adults if 20% or more burned = systemic reaction
Rule of 9's - CORRECT ANSWER-Head = 9
Ant Chest = 18
Post Chest = 18
Arm = 9
Leg = 18
Parkland Formula - CORRECT ANSWER-4mL x %BSA x weight (kg)
-half in first 8 hours and half in remaining 16 hours
Chemical Burns - CORRECT ANSWER--concern: airway