Latest 2024/2025 (100% Verified) | Graded A+
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What should be done when there is an obstruction in a chest tube and why?
Milk the tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube?
✓ Only with a hemothorax
Is tidaling normal with a chest tube?
✓ Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube?
✓ That the tube is ready to be taken out
Is constant bubbling with a chest tube good or bad?
✓ Bad
Is crepidous supposed to be at the chest tube site?
✓ No, but usually resolves back into the body
What is crepidous?
✓ Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues?
✓ 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?
✓ Make sure the chest tube connections are secure
, What are the steps to a self breast exam?
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?
✓ Exercise, healthy diet (health maintenance)
Treatment for lymphedema?
✓ Healthy diet, exercise, compression stockings, good skin/nail care, decongestive
therapy, elevate extremity, isometric exercises
What are neutropenic precautions?
✓ Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection
prevention)
Signs and symptoms of thrombocytopenia?
✓ Most patients are asymptomatic, but s\s include bleeding (mucosal or
cutaneous), bruising, petechiae, purpura, and s\s of hemmorhaging.
Adverse affects of chemo/radiation?
✓ Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction,
nephrotoxicity, neuropathy, anemia