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Author Question: The nurse is caring for a patient with a Salem sump tube for decompression. The patient displays ... (Read 32 times)

jasdeep_brar

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The nurse is caring for a patient with a Salem sump tube for decompression. The patient displays dyspnea and reports feeling full and nauseated. What action should the nurse take first?
 
  a. Increase suction from low to high.
  b. Notify the charge nurse.
  c. Irrigate the tube with normal saline.
  d. Withdraw the tube about three inches.

Question 2

The patient with hyperthyroidism is undergoing ablation therapy with radioactive iodine. Which precaution is most important for the nurse to employ?
 
  a. Take radioactive precautions with syringes and bedpans.
  b. Use Standard Precautions only.
  c. Enforce isolation for 3 days.
  d. Wear a mask and eye protectors when caring for patient.



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aruss1303

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Answer to Question 1

C
Irrigation of the tube to restore patency is the first intervention when assessment indicates in-adequate decompression. The suction should remain on low. Withdrawing the tube may cause inappropriate placement. Notifying the charge nurse is not necessary at this time. Irrigating an obstructed sump tube is a standard of care.

Answer to Question 2

A
Radioactive iodine (131I) circulates in the blood and is excreted by the kidneys, so radioactive precautions should be taken with any equipment contaminated with blood or urine.





 

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