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Author Question: Appropriate intervention for the client having a reinfusion of chest tube drainage is noted when the ... (Read 70 times)

Mr. Wonderful

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on: Jul 23, 2018
Appropriate intervention for the client having a reinfusion of chest tube drainage is noted when the nurse:
 
  A. Hangs the reinfusion bag lower than the usual IV bag
  B. Uses a microaggregate filter on the reinfusion bag
  C. Maintains 500 mm Hg pressure in the gravity blood cuff
  D. Keeps the clamps open on the drainage tubing during bag transfer

Question 2

During chest tube removal, the expected role of the nurse includes:
 
  A. Preparing an occlusive dressing
  B. Clipping of the sutures
  C. Support and assessment of the client
  D. Removal of the chest tube firmly and quickly


randomguy133

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
B. Use a new microaggregate filter to reinfuse each autotransfusion bag.
A. Hang the bag on an IV pole and continue to prime the tubing until all air is gone. Clamp the tubing, attach it to the client's IV access, and adjust the clamp to deliver the reinfusion at the appropriate rate.
C. Reinfusion is delivered either by gravity, application of a blood cuff (not to exceed 150 mm Hg pressure), or a blood-compatible IV pump
D. Connect the red and blue connectors on top of the initial collection bag, and remove it by lifting it from the side hook and then from the foot hook. This maintains a closed system within the bag and removes it for use in autotransfusion.

Answer to Question 2

C
C. Support client physically and emotionally while physician or APN removes dressing and clips sutures.
A. Physician or APN prepares an occlusive dressing of petroleum gauze on a pressure dressing and sets it aside on a sterile field and applies sterile gloves.
B. Physician or APN removes dressing and clips sutures.
D. Physician or APN quickly pulls out the chest tube.


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Mr. Wonderful

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Reply #2 on: Jul 23, 2018
Thank you!


randomguy133

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Reply #3 on: Jul 23, 2018
Always glad to help...


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