NURS 3725 FINAL EXAM| QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST
UPDATE GUARANTEED PASS
Which techniques would you practice for a patient in the preparation stage?
A. identify and assist in problem solving
B. validate lack of readiness
C. verifying that the patient has underlying skills for behavior change
D. encourage small initial steps A, C and D
validating lack of readiness takes place in precontemplation and contemplation
Which techniques would you practice for a patient in the action stage?
A. focus on restructuring cues and social support
B. bolster self-efficacy for dealing with obstacles
C. help patient identify social support
D. combat feelings of loss and reiterate long-term benefits A, B, and D
you could be helping the patient identify social supports in the preparation stage
Which of the following is *not* one of the 4 steps to motivation interviewing?
A. summarize
B. ask permission
C. listen
,D. suggest D
invite is the last step
You are a clinical instructor working in thoracics. Which of the following statements by a
student requires further teaching?
A. "after their chest tube is inserted, i should be monitoring them every 15 minutes for the first
2 hours, and then every hour after that!"
B. "we want less than 100 mL/hr of drainage, and if there's more, i should notify the doctor!"
C. "if the water in the water seal chamber is vigorously bubbling, i should notify the doctor
immediately!"
D. "if the water in the water seal chamber stops, it could be a blockage or lung re-expansion!"
C
if the water is bubbling vigorously, you will cross-clamp (using rubber-tipped clamps) the chest
tube momentarily close to the patients chest. if the bubbling stops, an air leak is inside the
patients thorax or at the chest tube insertion site. if it is not right there, continue moving the
clamps down the tubing until the bubbling stops. wherever it stops, the air leak is somewhere
within that section that is clamped. *unclamp the tubing* and notify the physician immediately.
When someone has a chest tube, which of the following should you monitor for? Select all that
apply.
A. increased respiratory distress
B. chest pain
C. decreased breath sounds
D. asymmetrical chest movement all of them
,in addition, cyanosis, hypotension, tachycardia, mediastinal shift, change in LOC, and
restlessness
Nurses should avoid clamping chest tubes, except briefly for all of the following except which?
Select all that apply.
A. changing the chest tube draining unit
B. when assessing for an air leak
C. if the water in the water seal chamber abruptly stopped
D. to assess if a patient is ready to have the chest tube removed
E. if the chest tube drainage system becomes disconnected from the chest tube C and E
if the water stops, it could be from a blockage or lung re-expansion. assess this by turning off
the wall suction for a moment and looking at the chamber.
if the chest tube becomes disconnected from the chest tube, put the end of the chest tube in
2.5 cm of sterile water to create an under water seal.
Which of the following should a patient with a chest tube do if they want to get up and move?
A. disconnect the drainage system from the suction and make sure the air vent on the drainage
system is open
B. clamp the chest tube and disconnect from the drainage system
C. cover the air vent and disconnect from suction
D. disconnect the drainage system oxygen and cover the air vent A
, If the chest tube drainage system becomes disconnected from the chest tube, what should you
do? quickly place end of chest tube (part that is in the patient) in at least 2.5 cm of sterile
water to create a water seal. air can come out, but not enter.
If the chest tube is accidentally pulled out, what should you do? immediately apply pressure
over chest tube insertion site with a sterile occlusive dressing and tape only 3 sides to allow air
to escape
Which of the following would indicate a potential pneumothorax in a patient with a chest tube?
Select all that apply.
A. hypertension
B. distended jugular veins
C. absent or decreased breath sounds
D. tracheal shift B, C and D
*hypotension* would be an indication of a potential pneumothorax
Which of the following is *false* about using a fenestrated tube for trachs?
A. it can allow oral and stomach contents to enter the lungs
B. it inhibits a persons ability to use their voice
C. it increases the risk of aspiration and infection
D. if someone has a low GCS or incompetent cough reflex, it should not be used B
Which of the following is *false* about cuff inflation of a trach?
UPDATE GUARANTEED PASS
Which techniques would you practice for a patient in the preparation stage?
A. identify and assist in problem solving
B. validate lack of readiness
C. verifying that the patient has underlying skills for behavior change
D. encourage small initial steps A, C and D
validating lack of readiness takes place in precontemplation and contemplation
Which techniques would you practice for a patient in the action stage?
A. focus on restructuring cues and social support
B. bolster self-efficacy for dealing with obstacles
C. help patient identify social support
D. combat feelings of loss and reiterate long-term benefits A, B, and D
you could be helping the patient identify social supports in the preparation stage
Which of the following is *not* one of the 4 steps to motivation interviewing?
A. summarize
B. ask permission
C. listen
,D. suggest D
invite is the last step
You are a clinical instructor working in thoracics. Which of the following statements by a
student requires further teaching?
A. "after their chest tube is inserted, i should be monitoring them every 15 minutes for the first
2 hours, and then every hour after that!"
B. "we want less than 100 mL/hr of drainage, and if there's more, i should notify the doctor!"
C. "if the water in the water seal chamber is vigorously bubbling, i should notify the doctor
immediately!"
D. "if the water in the water seal chamber stops, it could be a blockage or lung re-expansion!"
C
if the water is bubbling vigorously, you will cross-clamp (using rubber-tipped clamps) the chest
tube momentarily close to the patients chest. if the bubbling stops, an air leak is inside the
patients thorax or at the chest tube insertion site. if it is not right there, continue moving the
clamps down the tubing until the bubbling stops. wherever it stops, the air leak is somewhere
within that section that is clamped. *unclamp the tubing* and notify the physician immediately.
When someone has a chest tube, which of the following should you monitor for? Select all that
apply.
A. increased respiratory distress
B. chest pain
C. decreased breath sounds
D. asymmetrical chest movement all of them
,in addition, cyanosis, hypotension, tachycardia, mediastinal shift, change in LOC, and
restlessness
Nurses should avoid clamping chest tubes, except briefly for all of the following except which?
Select all that apply.
A. changing the chest tube draining unit
B. when assessing for an air leak
C. if the water in the water seal chamber abruptly stopped
D. to assess if a patient is ready to have the chest tube removed
E. if the chest tube drainage system becomes disconnected from the chest tube C and E
if the water stops, it could be from a blockage or lung re-expansion. assess this by turning off
the wall suction for a moment and looking at the chamber.
if the chest tube becomes disconnected from the chest tube, put the end of the chest tube in
2.5 cm of sterile water to create an under water seal.
Which of the following should a patient with a chest tube do if they want to get up and move?
A. disconnect the drainage system from the suction and make sure the air vent on the drainage
system is open
B. clamp the chest tube and disconnect from the drainage system
C. cover the air vent and disconnect from suction
D. disconnect the drainage system oxygen and cover the air vent A
, If the chest tube drainage system becomes disconnected from the chest tube, what should you
do? quickly place end of chest tube (part that is in the patient) in at least 2.5 cm of sterile
water to create a water seal. air can come out, but not enter.
If the chest tube is accidentally pulled out, what should you do? immediately apply pressure
over chest tube insertion site with a sterile occlusive dressing and tape only 3 sides to allow air
to escape
Which of the following would indicate a potential pneumothorax in a patient with a chest tube?
Select all that apply.
A. hypertension
B. distended jugular veins
C. absent or decreased breath sounds
D. tracheal shift B, C and D
*hypotension* would be an indication of a potential pneumothorax
Which of the following is *false* about using a fenestrated tube for trachs?
A. it can allow oral and stomach contents to enter the lungs
B. it inhibits a persons ability to use their voice
C. it increases the risk of aspiration and infection
D. if someone has a low GCS or incompetent cough reflex, it should not be used B
Which of the following is *false* about cuff inflation of a trach?
