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. Deliver two quick short breaths into the patient's airway: Rescue breaths are not performed until airway patency and circulation are assessed.
B. Tilt the head by placing one hand on the forehead and lift the chin: This technique opens the airway but should follow calling for help and basic assessment.
C. Call for help or, if there is assistance, have that person get help: Activating emergency services is critical for obtaining additional life-saving resources.
D. Position the fingers over the carotid artery to feel for a pulse: Pulse checks come after calling for help in the Basic Life Support (BLS) algorithm.

A. The client is grasping his abdomen. B. The client is coughing. C. The client cannot speak. D. The client is hyperventilating.

Correct Answer is C

Explanation

A. The client is grasping his abdomen: Grasping the abdomen may indicate pain or cramping, not necessarily airway obstruction.
B. The client is coughing: Effective coughing suggests that the airway is partially open and the client is moving air, meaning abdominal thrusts are not required.
C. The client cannot speak: Inability to speak or cough is a sign of complete airway obstruction, indicating the need for abdominal thrusts.
D. The client is hyperventilating: Rapid breathing is not a typical sign of choking and does not warrant abdominal thrusts.

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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 patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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