A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Loop the client's tubes carefully to prevent kinking.

Clamp the tube when the client is ambulating.

Place the client flat to avoid leaks in the tubing.

Keep the collection device below the client's chest level.

Answer and Explanation

The Correct Answer is D

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

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Correct Answer is D

Explanation

A) "It delivers a specific concentration of oxygen constantly." A nasal cannula does not provide a constant or precise concentration of oxygen, as it is influenced by the client's breathing pattern.
B) "It allows you to remove it for a while when it gets uncomfortable." Removing the nasal cannula intermittently may disrupt oxygen therapy and decrease oxygen saturation.
C) "It delivers the highest concentration of oxygen possible." A nasal cannula delivers low-flow oxygen and does not provide the highest possible oxygen concentration.
D) "It delivers the low concentration of oxygen you need." A nasal cannula is designed for clients who need a low concentration of oxygen, typically between 1 to 6 liters per minute.

A. increased secretion production B. thinning of the alveolar membrane C. increased efficiency of the immune system D. decreased elasticity of the respiratory tissues

Correct Answer is D

Explanation

A. Increased secretion production: Older adults often experience decreased secretion clearance rather than increased production.
B. Thinning of the alveolar membrane: Alveolar membranes tend to thicken, reducing efficient gas exchange.
C. Increased efficiency of the immune system: Aging typically causes immune function to decline, increasing susceptibility to infections.
D. Decreased elasticity of the respiratory tissues: Loss of elasticity reduces lung compliance, leading to diminished respiratory efficiency.

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A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

Correct Answer is D

Explanation

Older adults are more prone to respiratory problems because aging causes which change?

Correct Answer is D

Explanation

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