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The nurse assesses a patient’s chest tube drainage 2 hours following thoracic surgery. The total drainage in the system is 200 mL. The nurse knows that:
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200 ml of drainage after 2 hours of surgery is normal.
But if the fluid increase at the rate more than 100 ml/ hour after the first three hours of surgery, it needs attention.
So the answer is option ( c)
The nurse assesses a patient’s chest tube drainage 2 hours following thoracic surgery. The total drainage in the sys...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay very still B. Inhale and exhale quickly D. perform the valsava maneuvevr 29. While changing the taping of a tracheostomy tube, the male client coughs and the tube dislodges. The initial action is to A. Call the physician to reinsert the tube B. Call the respiratory therapy department to reinsert the tracheostomy C. Cover the tracheostomy...
An 83-year-old man is admitted through the emergency department after being found lying on the floor inside his home. He had fallen three days prior after tripping over rug in his kitchen. The local police department found him after the neighbors requested a welfare check. He was unable to reach food or water, head a large laceration to his forehead with dried blood, was incontinent of urine and stool, and had noted shortening and rotation to his left leg. Upon...
Simulated Patient’s Name in EHR: Anne Newton Brief History: This is an 84-year-old female admitted two days ago with a diagnosis of Adult Failure to Thrive, dehydration, and weight loss. The patient has dementia/advanced Alzheimer’s disease, and dysphagia due to a previous stroke. She was receiving intermittent PEG tube feedings at home, which have continued since her admission. Orders have been written for her to be started on continuous tube feedings today. You are the nurse on the 7a-7p shifts...
A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse? “With type 2 diabetes, the body of the pancreas becomes inflamed.” “With type 2 diabetes, the patient is totally dependent on an outside source of insulin.” “With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.” “With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the pancreas.” 2. The nurse caring...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-ver-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4S1 today. She had an estimated blood loss (EBL) 675 ml during surgery and received 2500 mL of Lactated Ringers (LR) Paimis currently controlled at 2 10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus dose of...
1. Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient has a colostomy on her left (descending colon) abdomen. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson--Pratt drain intact with minimal serous sanguineous drainage present. The...
please answer all the questi A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse? “With type 2 diabetes, the body of the pancreas becomes inflamed.” “With type 2 diabetes, the patient is totally dependent on an outside source of insulin.” “With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.” “With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the...
Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient has a colostomy on her left (descending colon) abdomen. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson--Pratt drain intact with minimal serous sanguineous drainage present. The colostomy...
UNIT-3-Clinical Practice Preparing for Clinical Practice Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.) Links to an external site. ), Tonya believes that the patient is at risk for bleeding...
UNIT-3-Clinical Practice Preparing for Clinical Practice Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.)Links to an external site.), Tonya believes that the patient is at risk for bleeding from his...