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Author Question: For a patient with a pneumothorax, where does the nurse anticipate that the chest tube will be ... (Read 39 times)

tiffannnnyyyyyy

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on: Jul 24, 2018
For a patient with a pneumothorax, where does the nurse anticipate that the chest tube will be located?
 
  a. Second to third intercostal space (apical), anterior
  b. Fifth to sixth intercostal space, posterior
  c. Fifth to sixth intercostal space, lateral
  d. Mediastinal area

Question 2

An appropriate way for the nurse to measure a client for crutches is to:
 
  A. Have a flexion of 45 degrees at both of the client's elbows
  B. Have a space of two to three fingers between the top of the crutch and the axilla
  C. Place the crutch tips 1 foot to each side of the client's feet and observe the positioning of the crutches
  D. Place the crutch tips 1 foot to the front of the client's feet and observe the positioning of the crutches


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Galvarado142

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Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Apical (second or third intercostal space) and anterior chest tube placement promotes removal of air, which is necessary in the case of a pneumothorax. Chest tubes are placed low (usually in the fifth or sixth intercostal space) and posterior or lateral to drain fluid. A mediastinal chest tube is placed in the mediastinum, just below the sternum. This tube drains blood or fluid, preventing its accumulation around the heart. A mediastinal tube commonly is used after open heart surgery.

Answer to Question 2

B
B. Following correct crutch adjustment, two to three fingers should fit between top of crutch and axilla.
A. Following correct crutch adjustment, elbows should be flexed 15 to 30 degrees. Elbow flexion is verified with goniometer.
C and D. Position crutches with crutch tips at 6 inches (15 cm) to side and 6 inches in front of client's feet and crutch pads 2 inches (5 cm) below axilla.


tiffannnnyyyyyy

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Reply #2 on: Jul 24, 2018
TY


Galvarado142

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Reply #3 on: Jul 24, 2018
You're welcome


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