| Name |
1. What should be included in preoperative instructions to a patient
about deep breathing exercises? (See Black)
2. What positions should a patient be placed in order for chest physiotherapy
to be effective for each of the lobes of the lungs? (See Craven & Hirnle)
| Lobe | Position |
| Right Upper | |
| Right Middle | |
| Right Lower | |
| Left Upper | |
| Left Lower |
3. Which positions for chest physiotherapy might be
poorly tolerated by COPD, cardiac or head injury patients?
4. What should be included in a respiratory assessment?
See Video: Airway Management: Chest tubes RD536.A4 in the Media
Center
5. What specific observations should be included for
a patient who has a chest tube? (See Black)
6. A patient with a chest tube requires an X-ray which
cannot be done at the bedside. The licensed practical nurse wants
to clamp the chest tube while the patient is transported to the Radiology
Department. What is your recommendation? (See Black)
7. A patient's chest tube becomes separated from the drainage
tubing. What is the most appropriate nursing action?
8. What specific exercises should be done by a patient
with a chest tube to prevent frozen shoulder? (See Black)
9. What type of dressing is applied to the site after
a chest tube is removed?
See Craven & Hirnle and the following article to answer the questions about suctioning:
Glass, C.A., & Grap, M.J. (1995). Ten tips for safer suctioning. American Journal of Nursing, 95(5), 51-53.
10. What is the appropriate size suction catheter
and amount of suction to be used for endotracheal suctioning in an adult?
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|
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11. How long should a patient be oxygenated
before and after suctioning?
12. While suctioning a patient, he coughs and his
color becomes dusky. What is the most appropriate action?
13. Which patients might be at risk for
developing an arrhythmia after suctioning?
14. What is the maximum time permitted for suctioning?
15. What protective equipment required for respiratory
isolation? (See Craven & Hirnle)
16. List the sequence of activities for
donning and removing complete protective gear for respiratory isolation?
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See the following article to answer #21
Jones, L. & Hannum, D. (1998). Playing it safe with a
particulate respirator. Nursing 98, 28(1), 50-52.
17. How long may a particulate respiratory be worn?
18. A patient in the post-anesthesia care unit has
a pulse oximeter reading of 86. What does this mean and what would you
do?
20. What should be included in a narrative note of
patient who needs frequent suctioning?
See this article to answer # 23:
Carroll, P. (2000). Guest editorial. Should suctioning be left to
the nurse? (2000). American Journal of Critical Care, 9(2), 85-86.
21. What does the research literature in nursing say
about instilling saline when suctioning someone who has a tracheostomy?
See the following article for answers to # 24 & 25
Pettinicchi, T. (1998). Troubleshooting chest tubes. American Journal of Nursing, 98(3), 58-59.
22. In caring for a patient with a chest tube, the suction
is to be set at 20 cm. It is observed that the fluid level in the suction
control chamber is 15 cm.
What is the most appropriate
action?
What might happen if no action
is taken?
23. How would you check for an air leak in a chest
tube? See reference books available in the lab (Smith & Duell)
for the answer.
Copyright © 2001 Margarete Lieb Zalon
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