Hondros Nur 212 exam 1 (100% correct and graded A+) 2023 What should be done when there is an obstruction in a chest tube and why? - Correct Answer Milk the tube, never strip due to pressure changes When is it normal to find bleeding in a chest tube? - Correct Answer Only with a hemothorax Is tidaling normal with a chest tube? - Correct Answer Yes, on respirations What does it mean when there is no longer tidaling with a chest tube? - Correct Answer That the tube is ready to be taken out Is constant bubbling with a chest tube good or bad? - Correct Answer Bad Is crepidous supposed to be at the chest tube site? - Correct Answer No, but usually resolves back into the body What is crepidous? - Correct Answer Air bubbles in the subcutaneous tissue surrounding chest tube site How should a chest tube be observed for any issues? - Correct Answer From the patient to the machine What is the first thing the nurse should do if she suspects any issues with a patients chest tube? - Correct Answer Make sure the chest tube connections are secure What are the steps to a self breast exam? - Correct Answer Step 1: Lie down and place left arm behind head (lying down spreads breast tissue evenly) Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast. Use overlapping dime-sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel each layers. (A firm ridge on the curve of each breast is normal) Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side from the underarm.Respect for right breast.Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema? - Correct Answer Exercise, healthy diet (health maintenance) 1 / 2
Treatment for lymphedema? - Correct Answer Healthy diet, exercise, compression stockings, good skin/nail care, decongestive therapy, elevate extremity, isometric exercises What are neutropenic precautions? - Correct Answer Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection prevention) Signs and symptoms of thrombocytopenia? - Correct Answer Most patients are asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and s\s of hemmorhaging.Adverse affects of chemo/radiation? - Correct Answer Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia Fatigue management for chemo? - Correct Answer Encourage moderate exercise as tolerated, encourage rest when fatigued but to continue to maintain lifestyle patterns as much as possible while pacing activities to energy level, and reassure that fatigue is a common side affect Stages of cancer? - Correct Answer 1-Initiation 2-Promotion-Can be reversed with lifestyle changes.3-Latent 4-Progression Initiation stage - Correct Answer Injury to DNA, genetic changes.Promotion stage - Correct Answer Proliferation, reversible (lifestyle changes can reduce risk) Latent stage - Correct Answer Tumor present, no evidence of cancer Progression stage - Correct Answer Tumor has own blood supply, increased growth rate, invading surrounding cells, metastases Are all side effects of chemo instant? - Correct Answer No, can be latent for a few days to a week Proper PPE for nurse administering chemo? - Correct Answer Gloves, gown, and mask Proper skin care for a patient on radiation therapy? - Correct Answer Aloe or lotion without perfume, metal, alcohol, or additives. No heating pads or ice packs. Frequent skin assessments.S\S of adverse affects of IV chemo? - Correct Answer Painful, red, swollen, or blistered IV site.
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