The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

taping all connections within the system

turning on suction to 35 cm

keeping the system at the level of the patient's chest

looping the tubing between the mattress and the bed rail to minimize length

Answer and Explanation

The Correct Answer is A

A) Taping all connections within the system. Taping all connections helps prevent air leaks, which can compromise the function of the chest drainage system.
B) Turning on suction to 35 cm. Suction levels are typically set between 10 to 20 cm of water pressure. 35 cm is excessive and may cause lung tissue damage.
C) Keeping the system at the level of the patient's chest. The drainage system should always be kept below the level of the chest to promote gravity drainage and prevent backflow.
D) Looping the tubing between the mattress and the bed rail to minimize length. Tubing should not be looped or kinked, as this can obstruct drainage and compromise system function.

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Correct Answer is C

Explanation

A. Assist the guest to the floor and begin mouth-to-mouth resuscitation: The airway is still obstructed, and rescue breathing is not effective until the obstruction is cleared.
B. Slap the guest on the back several times: Back slaps are not recommended for adults with complete airway obstruction as they may worsen the blockage.
C. Perform the Heimlich maneuver on the guest: Grasping the throat and inability to talk indicate a complete airway obstruction, requiring immediate abdominal thrusts (Heimlich maneuver) to clear the airway.
D. Observe the guest before taking further action: Delaying intervention in the presence of complete obstruction can lead to respiratory arrest. Immediate action is required.

A. more than 250 mL of air moves in and out of the lungs with each breath B. foreign substances are propelled by the cilia toward the respiratory tract C. dehumidified air enters the upper airway passages D. the blood transports carbon dioxide to the lungs

Correct Answer is B

Explanation

A. More than 250 mL of air moves in and out of the lungs with each breath: This describes tidal volume but does not directly stimulate the cough mechanism.
B. Foreign substances are propelled by the cilia toward the respiratory tract: Irritation by foreign particles stimulates the cough reflex to clear the airways.
C. Dehumidified air enters the upper airway passages: Dry air can cause airway irritation but does not consistently trigger a cough reflex.
D. The blood transports carbon dioxide to the lungs: This describes gas exchange, which does not directly relate to triggering the cough mechanism.

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The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

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Naxlex Comprehensive Predictor Exams

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse clarifies that the cough mechanism is stimulated when:

Correct Answer is B

Explanation

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

A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

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?