COMPLEX MED SURG- RESPIRATORY 2023 (84 SETS) Q$A 100% CORRECT GRADED A+

Chest tube insertion site monitoring - ANSWERcheck for pain, redness, infection & subcutaneous crepitus Chest tube bedside equipment - ANSWERocclusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES Expected findings in a chest tube assessment - ANSWERgentle constant bubbling in the suction control chamber, rise and fall of water in the water seal chamber with inspiration and expiration, drainage system below chest and in upright position FIRST action when removing a chest tube is - ANSWERto place an occlusive dressing over the removal site How do you check placement of a chest tube? - ANSWERObtain chest x-ray post procedure pH normal range - ANSWER7.35-7.45 PaCo2 normal range - ANSWER35-45 PaO2 normal range - ANSWER80-100 HCO3 normal range - ANSWER22-26 Purpose of chest tube - ANSWERInserted into the pleural space to drain fluid, blood, or air; reestablish negative pressure, facilitate lung expansion, and to restore normal intrapleural pressure Pneumothorax - ANSWERa partial to complete collapse of the lung due to accumulation of air in the pleural space Hemothorax - ANSWERpartial to complete collapse of the lung sue to accumulation of blood in the pleural space Pulmonary empyema - ANSWERabnormal accumulation of pus in the pleural space due to pulmonary infection, lung abscess, or infected pleural effusion Hemothorax presentation - ANSWERdecreased breath sounds, dullness to percussion, hypotension, respiratory distress Open pneumothorax presentation - ANSWERhypoxia, dyspnea, lack of breath sounds over affected area, hemodynamic instability Tension pneumothorax presentation - ANSWERsevere respiratory distress, absent breath sounds, chest pain, hypotension, tachycardia, tracheal deviation Tension pneumothorax - ANSWERAn injury to the chest that allows air to enter the pleural cavity without an escape route Open pneumothorax - ANSWERpenetrating trauma that allows air in & out of the pleural space Chest Tube: Preprocedure - ANSWER1. Assess for allergies to local anesthetic 2. Assist pt to desired position (semi-fowlers or supine) 3. Prepare drainage system per facility policy (FILL WATER SEAL) 4. Administer pain & sedation 5. Prep insertion site Chest Tube: Post Procedure - ANSWER1. Assess vital signs, breath sounds, SaO2, color, and respiratory effort every 4 hours 2. Encourage coughing and deep breathing 3. Keep drainage system