To safely transport a client with chest tube drainage to the x-ray department to assess the degree of lung re-expansion, the nurse would:

remove the chest tube and cover the incision site with a sterile petrolatum gauze.

disconnect the drainage system covering the catheter tip with sterile gauze.

send the client to x-ray with the chest tube clamped.

send the client to x-ray with the chest tube attached to the drainage system

Answer and Explanation

The Correct Answer is D

A. Remove the chest tube and cover the incision site with a sterile petrolatum gauze: Removing the chest tube is not appropriate for transporting the patient to the x-ray department. The chest tube is essential for draining air, blood, or fluid from the pleural space and preventing complications like pneumothorax or fluid buildup. Removing it could cause harm and disrupt the treatment.

B. Disconnect the drainage system covering the catheter tip with sterile gauze: Disconnecting the drainage system is not recommended as it could cause the re-accumulation of air or fluid in the pleural space and compromise the patient's condition. The chest tube should remain connected to the drainage system to ensure continued drainage and prevent complications.

C. Send the client to x-ray with the chest tube clamped: Clamping a chest tube is not recommended unless specifically directed by a healthcare provider (such as during certain procedures or trials). Clamping can lead to dangerous complications, such as a tension pneumothorax, by preventing proper drainage of air or fluid. Therefore, the chest tube should not be clamped during transport.

D. Send the client to x-ray with the chest tube attached to the drainage system: This is the correct answer. The chest tube should remain attached to the drainage system during transport to ensure continuous drainage of air or fluid from the pleural space, which is vital for the patient's stability. The drainage system should be securely positioned to avoid kinks or disconnections, and the chest tube should remain open to prevent complications.

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Correct Answer is C

Explanation

A. Administering aggressive medical interventions to prolong life: In the end stages of Huntington's Disease, aggressive medical interventions are generally not the priority. Huntington's is a progressive neurodegenerative disease, and prolonging life without regard to the patient's quality of life is usually not the focus. The emphasis in end-of-life care is on comfort and symptom management rather than aggressive treatments.

B. Encouraging the patient to engage in physical therapy and exercise: While physical therapy can be important earlier in the disease progression to help maintain function and mobility, in the end stages of Huntington's Disease, the patient's focus is more on comfort care. At this point, physical therapy may not be practical or helpful in improving quality of life, so it is not the primary consideration.

C. Providing comfort care and managing symptoms according to patient's wishes: This is correct. The most important consideration in end-of-life care for a patient with Huntington's Disease is to focus on comfort and symptom management. This includes addressing pain, managing emotional and psychological symptoms, and ensuring that care aligns with the patient's wishes, values, and goals. End-of-life care should prioritize maintaining dignity and ensuring the patient's comfort.

D. Providing respite care and support for the patient's family: While providing respite care and family support are very important aspects of caregiving, the most important consideration is the patient's comfort and managing symptoms in alignment with their wishes. Respite care for the family is important but is not the central focus of end-of-life care for the patient.

A. hypoxemia refractory to oxygen therapy. B. severe left sided heart failure and resultant pulmonary edema. C. acute renal failure associated with pyelonephritis D. a traumatic brain injury with concomitant spinal cord injury.

Correct Answer is A

Explanation

A. Hypoxemia refractory to oxygen therapy: Acute Respiratory Distress Syndrome (ARDS) is characterized by severe hypoxemia that does not improve with the administration of oxygen. It results from inflammation and injury to the alveolar-capillary membrane, leading to fluid accumulation in the lungs, impaired gas exchange, and significant difficulty in oxygenating the blood, even with high levels of supplemental oxygen.

B. Severe left-sided heart failure and resultant pulmonary edema: Pulmonary edema due to left-sided heart failure is a different condition from ARDS. In pulmonary edema, the hypoxemia is typically responsive to oxygen therapy, and the primary cause is cardiac rather than direct lung injury. ARDS is caused by direct or indirect injury to the lungs, not primarily by cardiac failure.

C. Acute renal failure associated with pyelonephritis: While acute renal failure can be a critical condition, it is not typically associated with ARDS. Pyelonephritis, an infection of the kidney, does not directly lead to the development of ARDS. However, severe sepsis or other systemic infections could lead to ARDS.

D. A traumatic brain injury with concomitant spinal cord injury:While traumatic brain injury (TBI) and spinal cord injury (SCI) are serious conditions, they are not specifically associated with the development of ARDS. However, patients with TBI and SCI can develop other complications, including respiratory failure, but the direct cause of ARDS is typically lung injury or severe systemic inflammation

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To safely transport a client with chest tube drainage to the x-ray department to assess the degree of lung re-expansion, the nurse would:

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Naxlex Comprehensive Predictor Exams

Which of the following is the most important consideration in end-of-life care for a patient diagnosed with Huntington's Disease?

Correct Answer is C

Explanation

The nurse caring for a critically ill client would suspect the development of acute respiratory distress syndrome (ARDS) in which of the following situations? The client with:

Correct Answer is A

Explanation

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