NURl 242/l NUR242l Examl 3l –l (Newl
2026/l 2027l Update)l Medical-Surgicall
Nursingl Conceptsl Guide|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Empyemal pathophysiology
Answer:
pusl inl thel pleurall cavityl secondaryl tol infection,l abscess,l chestl surgery,l orl trauma
QUESTION
Empyemal presentation
Answer:
historyl ofl illness,l chestl pain,l cough,l dyspnea,l
decreasedl chestl walll movement
fever
decreasedl breathl sounds
chills
nightl sweats
QUESTION
Empyemal diagnosis
Answer:
chestl xl ray
thoracentesis
,QUESTION
Empyemal treatment
Answer:
Antibiotics,l chestl tube
QUESTION
persedl lipl breathing
Answer:
involvesl deepl inspirationl throughl nosel andl prolongedl expirationl throughl pursedl lipsl forl
doublel thel amountl ofl timel tol openl airways
QUESTION
Signsl ofl respiratoryl distress
Answer:
nasall flaring,l retractions,l grunting,l andl laboredl breathing,l accessoryl musclel use
QUESTION
Thoracentesisl position
Answer:
sittingl position,l armsl raisedl andl restingl overbedl table.
QUESTION
thoracentesisl patientl preparation
Answer:
-l Patientl upright,l leaningl overl al bedl orl tablel withl feetl supported.
-l Skinl isl cleansedl andl lidocainel isl injectedl SQ.
,-l Telll ptl notl tol cough
-l Chestl xrayl orl u/sl usedl tol determinel puncturel site
-l SIGNEDl CONSENT
QUESTION
thoracentesisl afterl procedure
Answer:
***•l Inspectl thel areal forl anyl swelling,l drainage
•l Breathl soundsl (alwaysl possibilityl ofl pneumothorax,l hemothorax,l etc.)
QUESTION
subcutaneousl emphysema
Answer:
Al characteristicl cracklingl sensationl feltl onl palpationl ofl thel skin,l causedl byl thel
presencel ofl airl inl softl tissues.
QUESTION
Pneumothoraxl S/S
Answer:
Tachycardia
Dyspneal
newl "nagging"l Cough
Nol breathl sounds
Tracheall deviation
cyanosis
unevenl chestl movement
QUESTION
Lungl abscessl presentation
Answer:
, coughl thatl isl productivel ofl foull smellingl sputum,l highl fever,l chills,l weightl loss,l andl
nightl sweats,l badl breath
-dx->l X-ray-->l plainl radiographyl demonstratingl al cavitaryl lesionl withl anl air-fluidl level
QUESTION
Lungl abscessl treatment
Answer:
antibiotics,l perhapsl surgicall resection
QUESTION
Chestl Tubel Suctionl Controll Chamber
Answer:
Providesl suctionl ->l Controlledl tol providel negativel pressurel tol chest
Filledl withl variousl levelsl ofl waterl forl desiredl suction;l withoutl thisl thel lungl tissuel
couldl bel suckedl intol thel chestl tube
Gentlel bubblingl =l Suctionl (notl airl escapingl froml pleurall space)
filll tol prescribed
QUESTION
chestl tubel waterl seall chamber
Answer:
Tipl ofl tubel isl underwaterl 2cml requiredl ->l Allowsl fluidl andl airl tol drainl froml pleurall
spacel andl preventl airl froml enteringl pleurall space
Waterl movesl upl asl clientl inhalesl andl movesl downl duringl exhale
Excessive,l continuousl bubblingl indicatesl airl leakl inl chest-tubel system
2026/l 2027l Update)l Medical-Surgicall
Nursingl Conceptsl Guide|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Empyemal pathophysiology
Answer:
pusl inl thel pleurall cavityl secondaryl tol infection,l abscess,l chestl surgery,l orl trauma
QUESTION
Empyemal presentation
Answer:
historyl ofl illness,l chestl pain,l cough,l dyspnea,l
decreasedl chestl walll movement
fever
decreasedl breathl sounds
chills
nightl sweats
QUESTION
Empyemal diagnosis
Answer:
chestl xl ray
thoracentesis
,QUESTION
Empyemal treatment
Answer:
Antibiotics,l chestl tube
QUESTION
persedl lipl breathing
Answer:
involvesl deepl inspirationl throughl nosel andl prolongedl expirationl throughl pursedl lipsl forl
doublel thel amountl ofl timel tol openl airways
QUESTION
Signsl ofl respiratoryl distress
Answer:
nasall flaring,l retractions,l grunting,l andl laboredl breathing,l accessoryl musclel use
QUESTION
Thoracentesisl position
Answer:
sittingl position,l armsl raisedl andl restingl overbedl table.
QUESTION
thoracentesisl patientl preparation
Answer:
-l Patientl upright,l leaningl overl al bedl orl tablel withl feetl supported.
-l Skinl isl cleansedl andl lidocainel isl injectedl SQ.
,-l Telll ptl notl tol cough
-l Chestl xrayl orl u/sl usedl tol determinel puncturel site
-l SIGNEDl CONSENT
QUESTION
thoracentesisl afterl procedure
Answer:
***•l Inspectl thel areal forl anyl swelling,l drainage
•l Breathl soundsl (alwaysl possibilityl ofl pneumothorax,l hemothorax,l etc.)
QUESTION
subcutaneousl emphysema
Answer:
Al characteristicl cracklingl sensationl feltl onl palpationl ofl thel skin,l causedl byl thel
presencel ofl airl inl softl tissues.
QUESTION
Pneumothoraxl S/S
Answer:
Tachycardia
Dyspneal
newl "nagging"l Cough
Nol breathl sounds
Tracheall deviation
cyanosis
unevenl chestl movement
QUESTION
Lungl abscessl presentation
Answer:
, coughl thatl isl productivel ofl foull smellingl sputum,l highl fever,l chills,l weightl loss,l andl
nightl sweats,l badl breath
-dx->l X-ray-->l plainl radiographyl demonstratingl al cavitaryl lesionl withl anl air-fluidl level
QUESTION
Lungl abscessl treatment
Answer:
antibiotics,l perhapsl surgicall resection
QUESTION
Chestl Tubel Suctionl Controll Chamber
Answer:
Providesl suctionl ->l Controlledl tol providel negativel pressurel tol chest
Filledl withl variousl levelsl ofl waterl forl desiredl suction;l withoutl thisl thel lungl tissuel
couldl bel suckedl intol thel chestl tube
Gentlel bubblingl =l Suctionl (notl airl escapingl froml pleurall space)
filll tol prescribed
QUESTION
chestl tubel waterl seall chamber
Answer:
Tipl ofl tubel isl underwaterl 2cml requiredl ->l Allowsl fluidl andl airl tol drainl froml pleurall
spacel andl preventl airl froml enteringl pleurall space
Waterl movesl upl asl clientl inhalesl andl movesl downl duringl exhale
Excessive,l continuousl bubblingl indicatesl airl leakl inl chest-tubel system
