A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Wire cutters

Tracheostomy tray

Padded clamp

Sand bag

Answer and Explanation

The Correct Answer is C

A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.

B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.

C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.

D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.

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Correct Answer is B

Explanation

A. Remove the linen from the client's room after each bed change – Linens should not be removed unnecessarily, as this could spread radiation contamination.

B. Instruct the client's family members to stay 1 m (3 ft) away from the client – This is correct because maintaining distance reduces radiation exposure risk for visitors.

C. Keep the client in bed during treatment – This is not always required. The client may have limited activity, but strict bed rest is not necessary unless prescribed.

D. Limit each of the client's visitors to 2 hours per day – Time should be limited, but the recommended duration is typically 30 minutes per day, not 2 hours.

A. Lubricate the catheter with water-soluble gel. B. Attach a prefilled syringe to the indwelling catheter inflation hub C. Cleanse the client's meatus with antiseptic solution. D. Position the client with her knees flexed and legs apart.

Correct Answer is D

Explanation

A. Close the doors and windows on the unit – While containing the fire is important, it is not the first priority. Activating the fire alarm ensures facility-wide response and safety protocols.

B. Activate the fire alarm system – This is the first action because it alerts emergency responders and allows evacuation protocols to begin. Timely activation prevents the fire from spreading and ensures prompt intervention.

C. Obtain and use a fire extinguisher – Fire extinguishers are used only for small, contained fires and should be handled by trained personnel after activating the alarm.

D. Evacuate clients from the area – While evacuation is critical, activating the fire alarm ensures a coordinated evacuation plan rather than causing panic.

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A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Nursing Test Bank

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