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301 Dressings and Drains

Quiz by jodi berndt

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10 questions
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  • Q1
    Which area of the chest tube is used to show if an air leak is present?
    Question Image
    B
    A
    C
    D
    30s
  • Q2
    After ambulating a patient on water seal, the nurse has orders to return the chest tube in the image to suction. Which of the following actions should the nurse take?
    Question Image
    Connect the suction tubing to the chest tube and adjust the suction until the orange "float" appears in the window
    Connect the suction tubing to the chest tube and clamp the chest tube between the patient and the chest tube box
    Connect the suction tubing to the chest tube and adjust the suction to 20 mmHg on the suction regulator
    Connect the suction tubing to the chest tube and adjust the suction until there is a gentle bubbling in the suction control chamber.
    30s
  • Q3
    While the nurse is removing sutures, the incision begins to open and appears like this image. What should nurse do immediately?
    Question Image
    Apply steri strips to the area that has opened and obtain a wound culture.
    Administer pain medication and place a Vasoline (petroleum) gauze dressing on the wound.
    Apply saline soaked gauze of the wound and call the physician.
    Stop removing additional sutures and contact the physician.
    30s
  • Q4
    If the nurses is assessing a patient's JP drain and finds it like the image here. What should the nurse do?
    Question Image
    Milk and strip the tubing of the drain so that the drainage continues to fill the bulb.
    Empty and compress the bulb so it appears dimpled.
    Use a safety pin to secure the drain to the gown and ambulate the patient.
    Document the drainage as serosanguineous and empty when 75% full.
    30s
  • Q5
    A patient has the following order: "NG to LIS" Which of the following describes how the suction regulator should be set to achieve this order?
    Question Image
    Move the top grey piece to "REG" and have the suction set at 20-40 mmHg
    Move the top grey piece to "INT" and have the suction set at 20-40 mmHg
    Move the top grey piece to "REG" and have the suction set at 40-60 mmHg
    Move the top grey piece to "INT" and have the suction set at 40-60 mmHg
    30s
  • Q6
    A patient returns from surgery with the drain in the image and has 500ml of blood collected in the canister. Which of the following actions is most appropriate by the nurse?
    Question Image
    Apply pressure to the incision site to reduce the bleeding.
    Change the drain canister to allow for additional drainage to be collected.
    Empty the drain and record the volume in Epic.
    Prepare to reinfuse the collected blood in the canister back to the patient via the peripheral IV line.
    30s
  • Q7
    Which type of dressing is the most appropriate for this wound?
    Question Image
    Telfa (non-adhering dressing)
    Hydrocolloid dressing
    Mepelix (foam dressing)
    Gauze 4X4
    30s
  • Q8
    Which of the following dressings would be most appropriate for this wound?
    Question Image
    Saline soaked 4x4 gauze and an ABD (abdominal pad) secured with paper tape
    Telfa (non-adhering dressing) and Kerlix to hold in place
    Vasoline (petroleum dressing) and ABD (abdominal pad) secured with paper tape
    Tegaderm (transparent dressing) and Montgomery straps to hold in place
    30s
  • Q9
    Which of the following actions should be the nurse's highest priority to help prevent a catheter associated urinary tract infection (CAUTI) for this patient?
    Question Image
    Correct the dependent loops of the drainage tubing
    Encourage oral fluid intake
    Move the catheter bag further above the floor
    Empty the catheter drainage bag
    30s
  • Q10
    A student nurse is caring for a patient with the drain in the image. The nurse identifies that the student has a good understanding of the drain when the student is heard stating:
    Question Image
    "this drain should only be removed and reinserted when the drainage bags are full"
    "this drain can help prevent skin breakdown in patients who have frequent liquid stools"
    "this drain has bags that should be emptied in the toilet every 4 hours"
    "this drain can stay in the patient for up to 60 days"
    30s

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