Patient next to chest tube insertion via cental subclavian dash...What is the most substantial for nurse to ask CNA?
The nurse is delegating the care of a stable client who has a chest tube inserted after complications witht the insertion of a central subclavian line the night before. Which intervention is most noteworthy for the nurse to ask the nursing assistant to carry out?
A. Count the respiratory rate for 1 full minute
B. Keep the client in a high-fowler postion
C encourage the client to cough and low breathe
D. Ask patient to remain in bed while the chest tube is in place
Give rationale/reason for your choice
Answers:
PATIENT! NOT CLIENT. PATIENT, PATIENT, PATIENT!
The personage who wrote these questions that you are copying into YA needs to be slapped, IMHO.
I'd go beside coughing and deep breathing to keep the lung expanded from pneumothorax that occurred when the main line was placed. If the chest tube is on water trademark instead of suction, the pneumothorax can reaccumulate if the lung becomes atelectatic. Source(s): I'm a physician. PATIENT!
oh my that is tricky! I am going to go through the process of elmination and see if I can digit it out.
Well first of all let's review our ABC"S
AIrway
Breathing
Circulation
Obviously it is critical to maintain a patent airway. Im going to break down the request for information. The client is now STABLE.. he had a chest tube inserted because of complications related to chest tube insertion the darkness before.
The ? is asking what is the MOST IMPORTANT for the nurse to ask the NURSING ASSISTANT to carry out!
I am going to say D because of the certainty that the client had complications with the central chain insertion the night before, and ambulation could remove the chest tube.
Keeping the client in a high-fowlers position facilitate breathing, however it seems more important for the client to remain in bed.
C. If in that is pain on deep breathing and coughing there could be an embolus. Source(s): R.N.
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A. Count the respiratory rate for 1 full minute
B. Keep the client in a high-fowler postion
C encourage the client to cough and low breathe
D. Ask patient to remain in bed while the chest tube is in place
Give rationale/reason for your choice
Answers:
PATIENT! NOT CLIENT. PATIENT, PATIENT, PATIENT!
The personage who wrote these questions that you are copying into YA needs to be slapped, IMHO.
I'd go beside coughing and deep breathing to keep the lung expanded from pneumothorax that occurred when the main line was placed. If the chest tube is on water trademark instead of suction, the pneumothorax can reaccumulate if the lung becomes atelectatic. Source(s): I'm a physician. PATIENT!
oh my that is tricky! I am going to go through the process of elmination and see if I can digit it out.
Well first of all let's review our ABC"S
AIrway
Breathing
Circulation
Obviously it is critical to maintain a patent airway. Im going to break down the request for information. The client is now STABLE.. he had a chest tube inserted because of complications related to chest tube insertion the darkness before.
The ? is asking what is the MOST IMPORTANT for the nurse to ask the NURSING ASSISTANT to carry out!
I am going to say D because of the certainty that the client had complications with the central chain insertion the night before, and ambulation could remove the chest tube.
Keeping the client in a high-fowlers position facilitate breathing, however it seems more important for the client to remain in bed.
C. If in that is pain on deep breathing and coughing there could be an embolus. Source(s): R.N.
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