Hondros Nur 212 exam 1 Verified Questions & Answers!

What should be done when there is an obstruction in a chest tube and why? - ANSWER Milk the tube, never strip due to pressure changes When is it normal to find bleeding in a chest tube? - ANSWER Only with a hemothorax Is tidaling normal with a chest tube? - ANSWER Yes, on respirations What does it mean when there is no longer tidaling with a chest tube? - ANSWER That the tube is ready to be taken out Is constant bubbling with a chest tube good or bad? - ANSWER Bad Is crepidous supposed to be at the chest tube site? - ANSWER No, but usually resolves back into the body What is crepidous? - ANSWER Air bubbles in the subcutaneous tissue surrounding chest tube site How should a chest tube be observed for any issues? - ANSWER From the patient to the machine What is the first thing the nurse should do if she suspects any issues with a patients chest tube? - ANSWER Make sure the chest tube connections are secure What are the steps to a self breast exam? - ANSWER 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 lipedema? - ANSWER Exercise, healthy diet (health maintenance) Treatment for lipedema? - ANSWER Healthy diet, exercise, compression stockings, good skin/nail care, decongestive therapy, elevate extremity, isometric exercises What are neutropenic precautions? - ANSWER Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection prevention) Signs and symptoms of thrombocytopenia? - ANSWER Most patients are asymptomatic, but ss include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and ss of hemmorhaging. Adverse affects of chemo/radiation? - ANSWER Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia