Which is an important nursing consideration when chest tubes will ...

[Engineer]

Which is an important nursing consideration when chest tubes will be removed from a child?
 
  a. Explain that it is not painful.
  b. Explain that only a Band-Aid will be needed.
  c. Administer analgesics before procedure.
  d. Expect bright red drainage for several hours after removal.

Question 2

The nurse is caring for a child after heart surgery. Which should the nurse do if evidence is found of cardiac tamponade?
 
  a. Increase analgesia.
  b. Apply warming blankets.
  c. Immediately report this to physician.
  d. Encourage child to cough, turn, and breathe deeply.

[cdmart10]

Answer to Question 1

ANS: C
It is appropriate to prepare the child for the removal of chest tubes with analgesics. Short-acting medications can be used that are administered through an existing IV line. A sharp, momentary pain is felt. This should not be misrepresented to the child. A petroleum gauze, air-tight dressing will be needed, but it is not a pain-free procedure. Little or no drainage should be found on removal.

Answer to Question 2

ANS: C
If evidence is noted of cardiac tamponade, which is blood or fluid in the pericardial space constricting the heart, the physician is notified immediately of this life-threatening complication. Increasing analgesia may be done before the physician drains the fluid, but the physician must be notified. Warming blankets are not indicated at this time. Encouraging the child to cough, turn, and breathe deeply should be deferred till after the evaluation by the physician.

[Engineer]

Thanks for the timely response, appreciate it

[shailee]

Excellent