Nokea
What is the reason for chest tubes after thoracic surgery?
- A. Draining secretions, air, and blood from the thoracic cavity
- B. Allowing air into the pleural space
- C. Indicating when the lungs have re-expanded by ceasing to bubble
- D. Draining secretions and blood while allowing air to remain in the thoracic cavity
Correct Answer: A
Rationale: After thoracic surgery, draining secretions, air, and blood from the thoracic cavity is necessary to allow the lungs to expand. Allowing air into the pleural space, indicating when lungs have re-expanded, and draining secretions and blood while air remains in the thoracic cavity are not the reasons for chest tubes after thoracic surgery.
You may also like to solve these questions
The nurse is obtaining data from a client with a respiratory disorder. Which information would be considered a part of the functional assessment and would assist in the diagnosis of an occupational lung disease?
- A. Cough and dyspnea
- B. Black-streaked sputum
- C. Tenacious secretions
- D. Barrel chest
Correct Answer: B
Rationale: A functional assessment provides data on the lifestyle, living environment, and work environment of the client, which can contribute to lung disorders. A black-tinged sputum is suggestive of prolonged exposure to coal dust. Cough, dyspnea, and tenacious secretions are vague respiratory symptoms that are not specific to occupational lung disease. The presence of barrel chest is indicative of trapped oxygen in the lungs over a prolonged period of time.
When the nurse monitors the water-sealed drainage system, which finding suggests the system is working properly?
- A. Fluid rises and falls with respirations
- B. Level of fluid is lowered in suction chamber
- C. Fluid is bubbling vigorously
- D. Fluid appears white and frothy
Correct Answer: A
Rationale: Fluctuation of fluid in the water-sealed chamber is initially present with each respiration. The level of fluid in the suction chamber should be maintained to initial level. Excessive or vigorous bubbling can indicate a leak in the system. The fluid in the chamber is clear.
Which statement would indicate that the parents of child with cystic fibrosis understand the disorder?
- A. Early treatment can stop the progression of the disease
- B. The mucus-secreting glands are abnormal
- C. There are fibrous cysts in the lungs
- D. Allergic reactions cause inflammation in the lungs
Correct Answer: B
Rationale: Cystic fibrosis is caused by dysfunction of the exocrine glands with no cystic lesions present in the lungs. Early treatment can improve symptoms and extend the life of clients, but a cure for this disorder is presently not available. Allergens are responsible for allergic asthma and not associated with cystic fibrosis.
The client with a lower respiratory airway infection is presenting with the following symptoms: fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the assessment by the nurse?
- A. Infection Risk
- B. Impaired Gas Exchange
- C. Ineffective Airway Clearance
- D. Altered Breathing Pattern
Correct Answer: C
Rationale: The symptom of wheezing indicates a narrowing or partial obstruction of the airway from inflammation or secretions. Infection Risk is a real potential because the client is already exhibiting symptoms of infection (fever with chills). Impaired Gas Exchange may occur, but no symptom listed supports poor exchange of gases. No documentation of respiratory rate or abnormalities is listed to justify this nursing diagnosis.
A client is brought to the emergency department following a motor vehicle accident. Which of the following nursing assessments is significant in diagnosing this client with flail chest?
- A. Respiratory acidosis
- B. Paradoxical chest movement
- C. Chest pain on inspiration
- D. Clubbing of fingers and toes
Correct Answer: B
Rationale: Flail chest occurs when two or more adjacent ribs fracture and results in impairment of chest wall movement. Respiratory acidosis and chest pain are symptoms that can occur with flail chest but is not as significant in the diagnosis as paradoxical chest movement. Clubbing of fingers and toes are sign of prolonged tissue hypoxia.