Author Question: The physician is about to remove a chest tube from a client. After the dressing is removed and the ... (Read 83 times)

hbsimmons88 · **on:** Jul 22, 2018

The physician is about to remove a chest tube from a client. After the dressing is removed and the sutures have been cut, the nurse assisting the physician asks the client to:

1. Breathe in and out quickly.
2. Exhale immediately.
3. Take a deep breath.
4. Perform the Valsalva maneuver.

Question 2

The nurse is preparing to check the respirations of a newborn who was just delivered. The nurse performs the procedure and determines that the respiratory rate is normal if which of the follow-ing is noted?

1. A respiratory rate of 20 breaths/min
2. A respiratory rate of 40 breaths/min
3. A respiratory rate of 70 breaths/min
4. A respiratory rate of 80 breaths/min

nickk12214 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: When the chest tube is removed, the client is asked to perform the Valsalva maneuver (take a deep breath, exhale, and bear down). The tube is then quickly withdrawn, and an airtight dressing is taped in place. The pleura seals itself off, and the wound heals in less than 1 week.

Answer to Question 2

2

Rationale: Normal respiratory rate varies from 30 to 60 breaths/min when the infant is not crying. Respirations should be counted for 1 full minute to ensure an accurate measurement because the newborn is a periodic breather. Observing and palpating respirations while the infant is quiet promote accurate data collection.