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 B,C,D,G,E,F,A

Explanation

Check the function of the suction catheter: Ensures the catheter is functioning properly before starting the procedure.

Don sterile gloves: Maintains asepsis during the suctioning procedure.

Adjust the suction to 120 to 150 mm Hg: Proper suction pressure prevents mucosal trauma.

Hyperoxygenate the client: Prevents hypoxia during the suctioning process.

Insert the catheter without suction: Prevents trauma to mucosa by reducing suction on insertion.

Apply intermittent suction while rotating the catheter: Effectively clears secretions while minimizing tissue damage.

Check for secretion clearance: Ensures the airway is clear and the procedure was effective.

A. Start slowly and increase volume over several sessions. B. Be much more vigorous in increasing increments. C. Do regular deep-breathing exercises instead. D. Use another device because this one might be faulty.

Correct Answer is A

Explanation

A. Start slowly and increase volume over several sessions: Gradually increasing lung volume improves compliance and helps clients build confidence with the device.
B. Be much more vigorous in increasing increments: Rapid or forceful attempts can cause hyperventilation or dizziness and are not recommended.
C. Do regular deep-breathing exercises instead: Deep breathing can be helpful but does not replace the targeted lung expansion benefits of the incentive spirometer.
D. Use another device because this one might be faulty: Device failure is rare; user education is usually more effective.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is B,C,D,G,E,F,A

Explanation

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

What is the most common cause of airway obstruction in the unconscious person?

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

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?

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 provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?