Exam (elaborations)

Hondros Nur 235 Exam 2 Practice Questions and Correct Answers

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Course
NUR 235

Institution
NUR 235

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 lo...

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Uploaded on September 3, 2024
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hondros nur 235 exam 2 practice questions and corr
what should be done when there is an obstruction i
when is it normal to find bleeding in a chest tube

Institution NUR 235
Course NUR 235

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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

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Exam (elaborations)

Hondros Nur 235 Exam 2 Practice Questions and Correct Answers

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