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NUR 212 Hondros Quiz 1 study guides actual questions and answers
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NUR 212 Hondros Quiz 1 study guides actual questions and answers
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NUR 212 Hondros Quiz 1 study guidesactual questions and answers
What should be done when there is an obstruction in a chest tube and why? - ANS Milk the
tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube? - ANS Only with a hemothorax
Is tidaling normal with a chest tube? - ANS Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube? - ANS That the tube
is ready to be taken out
Is constant bubbling with a chest tube good or bad? - ANS Bad
Is crepidous supposed to be at the chest tube site? - ANS No, but usually resolves back
into the body
What is crepidous? - ANS Air bubbles in the subcutaneous tissue surrounding chest tube
site
How should a chest tube be observed for any issues? - ANS From the patient to the
machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube?
- ANS Make sure the chest tube connections are secure
What are the steps to a self breast exam? - ANS Step 1: Lie down and place left arm
behind head (lying down spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for lumps in the left breast.
Use overlapping dime-sized circular motions to feel breast tissue. Light, medium, and firm
pressure to feel each layers. (A firm ridge on the curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight line down your side
from the underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any redness, lumps, shapes, or
scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema? - ANS Exercise, healthy diet (health maintenance)
, Treatment for lymphedema? - ANS Healthy diet, exercise, compression stockings, good
skin/nail care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions? - ANS Avoid fresh fruits/veggies, no fresh flowers, good
hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia? - ANS Most patients are asymptomatic, but s\s
include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and s\s of
hemmorhaging.
Adverse affects of chemo/radiation? - ANS Nausea, vomiting, anorexia, diarrhea, skin
breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Fatigue management for chemo? - ANS Encourage moderate exercise as tolerated,
encourage rest when fatigued but to continue to maintain lifestyle patterns as much as possible
while pacing activities to energy level, and reassure that fatigue is a common side affect
Stages of cancer? - ANS 1-Initiation
2-Promotion-Can be reversed with lifestyle changes.
3-Latent
4-Progression
Initiation stage - ANS Injury to DNA, genetic changes.
Promotion stage - ANS Proliferation, reversible (lifestyle changes can reduce risk)
Latent stage - ANS Tumor present, no evidence of cancer
Progression stage - ANS Tumor has own blood supply, increased growth rate, invading
surrounding cells, metastases
Are all side effects of chemo instant? - ANS No, can be latent for a few days to a week
Proper PPE for nurse administering chemo? - ANS Gloves, gown, and mask
Proper skin care for a patient on radiation therapy? - ANS Aloe or lotion without perfume,
metal, alcohol, or additives. No heating pads or ice packs. Frequent skin assessments.
S\S of adverse affects of IV chemo? - ANS Painful, red, swollen, or blistered IV site.
Primary prevention for cancer? - ANS Lifestyle changes, healthy diet, exercise, smoking
cessation.
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