Hondros Nur 212 exam 1 100% Solved!

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 lymphedema? - ANSWER Exercise, healthy diet (health maintenance) Treatment for lymphedema? - 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 Fatigue management for chemo? - ANSWER Encourage moderate exercise as tolerated, encourage rest when fatigued but to continue to maintain lifestyle patterns as much as possible while pacing activities to energy level, and reassure that fatigue is a common side affect