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Author Question: Which of the following is the correct positioning for a patient after a chest tube has been inserted ... (Read 26 times)

cookcarl

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on: Jul 24, 2018
Which of the following is the correct positioning for a patient after a chest tube has been inserted for a hemothorax?
 
  a. Supine
  b. Side-lying
  c. Semi-Fowler's
  d. High-Fowler's

Question 2

For cast removal, the nurse correctly instructs the client that:
 
  A. Discomfort will be felt from the cast saw
  B. An enzyme wash may be applied to intact skin
  C. The skin will be scrubbed very well after the removal
  D. Aggressive range-of-motion exercises will be performed after removal


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nyrave

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Reply #1 on: Jul 24, 2018
Answer to Question 1

D
After the tube is placed, assist the patient to a comfortable position. Supine does not facilitate drainage or removal of air or fluid, and side-lying does not facilitate lung expansion. The high-Fowler's position is used to evacuate air (pneumothorax).

Answer to Question 2

B
B. If skin is intact, gently apply cold water enzyme wash to skin; let stay on skin 15 to 20 minutes. Helps dissolve or emulsify dead cells and fatty deposits on tissues. Prevents injury to delicate tissue.
A. Cast saw vibrates cast loose; client will feel heat and vibration.
C. Do not scrub skin, because this may traumatize delicate tissue and lead to skin breakdown. It may take several days before all residue is removed from skin.
D. Obtain physician's order to gently put joints through active and passive ROJM. Clarify level of activity allowed. Joints and muscles will be stiff and weak. Activity is resumed slowly to avoid reinjury.


cookcarl

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Reply #2 on: Jul 24, 2018
Thank you!


nyrave

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Reply #3 on: Jul 24, 2018
Always glad to help...


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