Quiz for EX 2 Pneumothorax |
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Question 1
| Multiple-choice | |
If pt assessment is good, what should you check with the chest tube unit ? | |
| Select the best answer | |
Dressing, tube is patenet |
Try milking the tube, ONLY IF ORDERED TO DO SO. Start at proximal end gently squeezing and releasing it between your fingers along the length of the tubing. |
With increased air accumulation, trachea pulls to unaffected side, compressing cardiac vessels, leading to decrease in cardiac output!!! |
A bleb is a collection of air within layers of the viceral pleura in the pleural space- rupturing would cause a closed pneumothorax |
| Multiple-choice | |
What do you do if a chest tube becomes dislodged? | |
| Select the best answer | |
Mean there is a leak in the drainage system. Change this out. |
Insertion of a large bore needle wiht air release valve, chest tube to water seal suction |
Respiratory distress, chest pain, breath sounds over lung area, and stable vital signs |
Immediately cover the site with a sterile dry dressing and call MD. |
| Multiple-choice | |
What should you do if you hear air leaking from the site of the hole where the tube goes? | |
| Select the best answer | |
Respiratory distress, chest pain, breath sounds over lung area, and stable vital signs |
A tube would be higher for air to escape, lower to drain fluid |
Tape the dressing on two-3 sides to allow air to escape and prevent a tension pneumothorax. |
A bottle of normal saliene to stick it in until you get a new unit |
| Multiple-choice | |
What should you write on drainage bottles adhesive tape ? | |
| Select the best answer | |
ONLY MD/PA ORDERS!!!??? |
An open pneumonthorax- DONT REMOVE OBJECT |
Cardiac tamponade |
The time the drainage begun |
| Multiple-choice | |
What are the five circumstances we would use a hemostat on a pt with a chest tube? | |
| Select the best answer | |
1.To assess an air leak |
Insertion of a large bore needle wiht air release valve, chest tube to water seal suction |
Tighten loose connection. If that does not work, cross clamp chest tube close to pts chest. If bubbling stops, air leak is inside pt thorax or chest tube insertion site. Unclamp tube and notify MD immediately! Reinforce chest dressing |
Leak is not in pt chest or at insertion site. Move clamp down drainage tubing away from pt |
| Multiple-choice | |
What position would be best for a hemothorax? | |
| Select the best answer | |
Pneumothorax |
High fowlers |
Hemothorax |
Closed - no external wound |
| Multiple-choice | |
What is the collectiion of air in the pleural space and air is not allowed to escape during expiration causes what? | |
| Select the best answer | |
little to none, draining air |
Tension pneumothorax |
Semi-fowlers |
The time the drainage begun |
| Multiple-choice | |
Why would a chest tube be placed higher in the body vs lower in the body? | |
| Select the best answer | |
A tube would be higher for air to escape, lower to drain fluid |
Pnuemothorax or hemothorax, SIGNS AND SYMPTOMS ARE THE SAME |
The tube might have a clot stopping the tube. |
A tension pneumothorax and mediastinal shift |
| Multiple-choice | |
When would you change the chest drainage unit? | |
| Select the best answer | |
The time the drainage begun |
A tension pneumothorax |
Change it when its full or it breaks |
An open pneumonthorax- DONT REMOVE OBJECT |
| Multiple-choice | |
If you move the clamp all the way down the tubing and it continues to bubble, what should you do? | |
| Select the best answer | |
Immediately cover the site with a sterile dry dressing and call MD. |
Mean there is a leak in the drainage system. Change this out. |
On the mattress next to pt. secure with rubber band and saftey pin it |
Always coil it, it drains more freely |
