Chapter 29 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 29 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The postoperative cardiac surgery client has an accumulation of fluid in the pleural space two 1) weeks after The nurse explains to the client and family that this is called a:

1. A) B) Hemothorax.
2. C) Pleural D) Pulmonary edema.

Answer: C

Explanation: A)       Fluid in the pleural space that is not blood is a pleural effusion. A pneumothorax is air accumulation in the pleural space, hemothorax is blood accumulation, and

pulmonary edema is fluid in the alveoli.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Fluid in the pleural space that is not blood is a pleural A pneumothorax is air accumulation in the pleural space, hemothorax is blood accumulation, and

pulmonary edema is fluid in the alveoli.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Fluid in the pleural space that is not blood is a pleural A pneumothorax is air accumulation in the pleural space, hemothorax is blood accumulation, and

pulmonary edema is fluid in the alveoli.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Fluid in the pleural space that is not blood is a pleural A pneumothorax is air accumulation in the pleural space, hemothorax is blood accumulation, and

pulmonary edema is fluid in the alveoli.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 29-1: Define the key terms used in the care of clients with chest tubes.

• The nurse is caring for a client who has a small pneumothorax and is capable of being 2) The nurse anticipates the placement of a:

1. Chest tube placed in the upper chest on the side of the
2. Chest tube placed in the lower chest on the side of the
3. Heimlich chest drain valve in the upper chest on the side of the
4. Heimlich chest drain valve in the lower chest on the side of the

Answer: C

Explanation: A)       Because air rises, the chest drain would be placed in the upper chest. Because the client is ambulatory and the pneumothorax is small, a Heimlich chest drain valve could be used to allow the client to move about more easily. The valve would not be used if the client had a Hemothorax, and placement of the chest tube would be lower in the chest because blood falls to the lowest point secondary to gravity.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

 

1. Because air rises, the chest drain would be placed in the upper Because the client is ambulatory and the pneumothorax is small, a Heimlich chest drain valve could be used to allow the client to move about more easily. The valve would not be used if the client had a Hemothorax, and placement of the chest tube would be lower in the chest because blood falls to the lowest point secondary to gravity. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. Because air rises, the chest drain would be placed in the upper Because the client is ambulatory and the pneumothorax is small, a Heimlich chest drain valve could be used to allow the client to move about more easily. The valve would not be used if the client had a Hemothorax, and placement of the chest tube would be lower in the chest because blood falls to the lowest point secondary to gravity. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. Because air rises, the chest drain would be placed in the upper Because the client is ambulatory and the pneumothorax is small, a Heimlich chest drain valve could be used to allow the client to move about more easily. The valve would not be used if the client had a Hemothorax, and placement of the chest tube would be lower in the chest because blood falls to the lowest point secondary to gravity. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 29-1: Define the key terms used in the care of clients with chest tubes.

 

• Which of the following could the nurse safely delegate to the unlicensed assistive personnel (UAP)? 3)

1. Assist the physician with insertion of the chest
2. Assist the physician with the removal of the chest
3. Measure chest tube
4. Bathe the client and measure vital

Answer: D

Explanation: A)      The nurse could safely delegate routine care of the client such as bathing or measurement of vital signs if the UAP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The nurse could safely delegate routine care of the client such as bathing or

measurement of vital signs if the UAP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The nurse could safely delegate routine care of the client such as bathing or

measurement of vital signs if the UAP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The nurse could safely delegate routine care of the client such as bathing or

measurement of vital signs if the UAP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 29-2: Recognize when it is appropriate to delegate aspects of the care of clients

with chest tubes to unlicensed assistive personnel.

• During a chest tube insertion, the nurse’s role is to: (Select all that apply) 4)

1. Provide emotional support to the
2. Monitor the client’s condition and reaction to the
3. Dress the insertion
4. Prepare the
5. Insert the chest

Answer: A, B

Explanation: A)      Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the procedure. During the procedure the nurse cares for the client, monitoring the client’s condition and reaction to the procedure while providing emotional support. It is the physician’s role to insert the chest tube.

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Nursing Process: Implementation

1. Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the During the procedure the nurse cares for the client, monitoring the client’s condition and reaction to the procedure while providing emotional support. It is the physician’s role to insert the chest tube.

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Nursing Process: Implementation

1. Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the During the procedure the nurse cares for the client, monitoring the client’s condition and reaction to the procedure while providing emotional support. It is the physician’s role to insert the chest tube.

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Nursing Process: Implementation

1. Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the During the procedure the nurse cares for the client, monitoring the client’s condition and reaction to the procedure while providing emotional support. It is the physician’s role to insert the chest tube.

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Nursing Process: Implementation

1. Preparing the equipment is done prior to beginning the insertion of the chest tube and dressing the chest tube is done after the During the procedure the nurse cares for the client, monitoring the client’s condition and reaction to the procedure while providing emotional support. It is the physician’s role to insert the chest tube.

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 29-3: Verbalize the steps used in:

1. Assisting with chest tube insertion.
2. Maintaining chest tube drainage.
3. Assisting with chest tube removal.