A child with a pneumothorax has a chest tube attached to a water ...

[saliriagwu]

A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. Which of the following would the nurse do first?
 
  A) Notify the physician
  B) Apply an occlusive dressing
  C) Clamp the chest tube
  D) Perform a respiratory assessment

Question 2

A nurse is preparing a teaching program for a parenting group about preventing foreign body aspiration. Which of the following would the nurse include?
 
  A) Avoid giving popcorn to children younger than the age of 2 years.
  B) Withhold peanuts from children until they are at least 5 years of age.
  C) If an object fits through a standard toilet paper roll, the child can aspirate it.
  D) Keep pennies and dimes out of the child's reach; quarters do not pose a problem.

[flannelavenger]

Answer to Question 1

C
Feedback:
If a chest tube becomes disconnected from the water seal drainage system, the nurse would first clamp the chest tube to prevent air from entering the child's chest cavity. Then the nurse would perform a respiratory assessment and notify the physician. An occlusive dressing would be applied first if the chest tube became dislodged from the child's chest.

Answer to Question 2

C
Feedback:
Items smaller than 1.25 inches can be aspirated easily. A simple way for parents to estimate the safe size of a small item or toy piece is to gauge its size against a standard toilet paper roll, which is generally about 1.5 inches in diameter. If it fits through the roll, it can be aspirated. Popcorn and peanuts should not be given to children until they are at least 3 years old. All coins should be kept out of the reach of children.