The nurse is providing care to a client who may need a chest tube ...

[itsmyluck]

The nurse is providing care to a client who may need a chest tube inserted during a surgical procedure. Which medications on the client's medication administration record (MAR) would cause the nurse to notify the health care provider prior to surgery?
 
  Select all that apply.
 
  1. Aspirin
  2. Warfarin
  3. Heparin
  4. Hydrocodone
  5. Acetaminophen

Question 2

During a chest tube insertion, which actions are appropriate for the nurse to complete?
 
  Select all that apply.
 
  1. Provide emotional support to the client.
  2. Monitor the client's condition and reaction to the procedure.
  3. Dress the insertion site.
  4. Prepare the equipment.
  5. Insert the chest tube.

[fromAlphatoOmega22]

Answer to Question 1

Correct Answer: 1,2,3

The nurse reviews the MAR prior to the procedure to review for anticoagulants as these medications can increase the client's risk of bleeding during a chest tube insertion. Aspirin, warfarin, and heparin are all anticoagulants and would require notification to the health care provider. Hydrocodone and acetaminophen do not increase the client's risk of bleeding during this procedure.

Answer to Question 2

Correct Answer: 1,2

Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the procedure. During the procedure the nurse cares for the client, monitoring the client's condition and reaction to the procedure while providing emotional support. It is the primary care provider's role to insert the chest tube.

[itsmyluck]

Excellent

[lcapri7]

Thanks for the timely response, appreciate it