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ISPN考试模拟试题(214)

Question:

Two days after placement of a pleural chest tube, the tube is accidentally pulled out of the chest wall. The nurse should first:

1. Immerse the tube in sterile water.

2. Apply an occlusive dressing such as petroleum jelly gauze.

3. Instruct the client to cough to expand the lung.

4. Auscultate the lung to determine whether it collapsed.

 

If the chest tube is accidentally pulled out (a rare occurrence), a petroleum jelly gauze and sterile 4×4 inch dressing should be applied over the chest wall insertion site immediately. The dressing should be covered with adhesive tape and be occlusive, and the surgeon should be notified. The lungs can be auscultated and vital signs can be taken after the dressing is in place and the surgeon has been called.

CN: Reduction of risk potential; CL: Synthesize
Answer:2

小编寄语:Better late than never.迟做总比不做好。  

时间:2020/3/26 10:02:07
 
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