Hondros Nur 235 Exam 2 Practice
Questions and Correct Answers
What should be done when there is an obstruction in a chest tube and why? ✅Milk the
tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube? ✅Only with a hemothorax
Is tidaling normal with a chest tube? ✅Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube? ✅That the tube
is ready to be taken out
Is constant bubbling with a chest tube good or bad? ✅Bad
Is crepidous supposed to be at the chest tube site? ✅No, but usually resolves back
into the body
What is crepidous? ✅Air bubbles in the subcutaneous tissue surrounding chest tube
site
How should a chest tube be observed for any issues? ✅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? ✅Make sure the chest tube connections are secure
What are the steps to a self breast exam? ✅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 lipedema? ✅Exercise, healthy diet (health maintenance)
, Treatment for lipedema? ✅Healthy diet, exercise, compression stockings, good
skin/nail care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions? ✅Avoid fresh fruits/veggies, no fresh flowers, good
hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia? ✅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? ✅Nausea, vomiting, anorexia, diarrhea, skin
breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Biggest risk factors for chronic kidney disease? ✅Diabetes (#1) and hypertension
Common causes of acute kidney injury? ✅Spironolactone, IV contrast, antibiotics
Main cause of acute glomerulonephritis? ✅Streptococcal
Fatigue management for chemo? ✅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? ✅Initiation
Promotion
Latent
Progression
Initiation stage ✅Injury to DNA
Promotion stage ✅Proliferation, reversible (lifestyle changes can reduce risk)
Latent stage ✅Tumor present, no evidence of cancer
Progression stage ✅Tumor has own blood supply, increased growth rate, invading
surrounding cells, metastases
Main side effect of femera (letrozol)? ✅Causes osteoporosis
Are side effects of chemo instant? ✅No, can be latent for a few days to a week
Proper PPE for nurse administering chemo? ✅Gloves, gown, and mask
