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

Explanation

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

A. deliver two quick short breaths into the patient's airway B. tilt the head by placing one hand on the forehead and lift the chin C. call for help or, if there is assistance, have that person get help D. position the fingers over the carotid artery to feel for a pulse

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.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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