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Author Question: A student nurse is completing his senior year of nursing school. He is doing his current clinical ... (Read 114 times)

craiczarry

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on: Jul 22, 2018
A student nurse is completing his senior year of nursing school. He is doing his current clinical rotation in an intensive care unit. The patient he has been assigned to is very ill and is on a ventilator.
 
  The health care provider has indicated that he is concerned about the patient's acid-base status. The student nurse anticipates that the health care provider will determine the acid-base levels with which of the following? A. Pulse oximetry
  B. Metabolic panel
  C. Blood sugar
  D. Arterial blood gas

Question 2

The nurse is evaluating a post-thoracotomy patient who has a chest tube. To properly maintain chest tube function the nurse's best action is to:
 
  A. strip the tube every hour to maintain drainage.
  B. place the device below the patient's chest.
  C. double clamp the tubes except during assessments.
  D. remove the tubing from the drainage device to check for proper suctioning.


parshano

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Reply #1 on: Jul 22, 2018
Answer to Question 1

D
Arterial blood gas (ABG) analysis is an effective method of evaluating acid-base balance and oxygenation.

Answer to Question 2

B
Stripping the chest tube causes complications because it creates excessive negative intrapleural pressure. Milking causes less of a pressure change. Chest tubes are only clamped under specific circumstances per physician's or health care provider's order or nursing policy to assess for an air leak, to quickly empty or change disposable drainage systems, or to assess if the chest tube is ready to be removed.


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craiczarry

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Reply #2 on: Jul 22, 2018
Thanks


parshano

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Reply #3 on: Jul 22, 2018
Welcome :)


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