A student nurse caring for a patient with a chest tube has been ...

[casperchen82]

A student nurse caring for a patient with a chest tube has been asked what equipment should be at the bedside to assess for an air leak. Which information indicates the student nurse has a cor-rect understanding of the equipment needed?
 
  a. Suction equipment wrapped in plastic to keep instrument clean
  b. Hemostat covered with gauze to prevent penetration of the chest tube
  c. Cup of water to place the end of the chest tube
  d. Petroleum gauze to use as a dressing

Question 2

A client who is disabled due to stroke is discharged from a health care unit and an LPN is assigned to provide nursing care to the client at home. This is an example of which kind of care?
 
  A) Extended care
  B) Secondary care
  C) Tertiary care
  D) Primary care

[catron30]

Answer to Question 1

B
Covered hemostats are used to assess for air leaks, not a cup of water, suction equipment, or pe-troleum gauze. Hemostats have a covering to prevent hemostat from penetrating the chest tube. The use of these hemostats or other clamp prevents air from re-entering the pleural space. Suc-tioning does not determine an air leak; it is used to clear secretions. If there is a break in the chest drainage device, place the end of the chest tube in a bottle of sterile saline, not water. If a chest tube becomes dislodged apply pressure to chest tube site wound using petroleum gauze, a dry gauze dressing, and adhesive tape.

Answer to Question 2

A
Feedback:
Extended care represents services that meet the health needs of clients who no longer require acute hospital care. It includes skilled nursing care in a person's home or in a nursing home, and hospice care for dying clients. Primary care is provided by the family physician, the nurse, or any health care facility that is the first contact for the client. Secondary and tertiary care are provided at specialized health care units.

[casperchen82]

Excellent

[rleezy04]

TYSM