A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Wire cutters
Tracheostomy tray
Padded clamp
Sand bag
The Correct Answer is C
A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.
B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.
C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.
D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. ECT does not typically affect a client’s voice.
B. This is the correct answer. A common side effect of ECT is short-term confusion and memory impairment, which can last for minutes to a few hours after the procedure.
C. Most clients wake up within a few minutes, not 30 minutes.
D. Clients do not typically feel pulsations in the neck during the procedure since they are under anesthesia and muscle relaxants are used.
Correct Answer is D
Explanation
A. Switch to a lactose-free formula – A lactose-free formula is necessary for clients with lactose intolerance but does not address the issue of hyperosmolar dehydration, which results from insufficient free water intake rather than intolerance to lactose.
B. Reposition the NG tube – Repositioning the tube is necessary if there is displacement, but it does not treat dehydration caused by hyperosmolar feedings.
C. Increase the rate of formula delivery – Increasing the rate can worsen dehydration by further increasing the solute load, leading to a greater fluid shift from intracellular to extracellular spaces.
D. Add water to the formula – This is the correct answer because hyperosmolar dehydration occurs when high-solute enteral formulas pull water into the intestines, leading to excessive fluid loss. To prevent this, the nurse should ensure the client receives adequate free water flushes alongside tube feedings.
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