CLINICAL MEDICINE

MEDICINE

ONCOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Nursing assessment that needs to be performed after thoracic surgery with the chest drain.
A
Vital signs 4 hourly.
B
Post operative pain score
C
Monitor the signs of respiratory distress.
D
Monitor the nature and amount of drainage
Explanation: 

Detailed explanation-1: -Assess air leak meter according to the chest drainage unit’s feature. On every shift, document the level of air leak and if the air leak occurs at rest or with coughing. Bubbling in the air leak meter indicates an air leak (or suction is on in a wet suction unit). If bubbling is NOT expected, measure and monitor.

Detailed explanation-2: -Immediately report any breathing difficulty. (Note: Notify the provider immediately if the client develops rapid or shallow breathing, decreased oxygenation saturation level, cyanosis, subcutaneous emphysema, chest pain, or excessive bleeding.) Sit upright to facilitate drainage of fluid and optimal lung expansion.

Detailed explanation-3: -Assess patient’s breath sounds, heart rate, blood pressure, temperature, respiratory rate and rhythm and O2 saturation. Assess patient allergies.

Detailed explanation-4: -Presence of air leaks. Fluctuation of water in water-seal chamber. Amount of suction. Amount of drainage and type. Presence of crepitus (subcutaneous emphysema) Breath sounds. Patient comfort level or pain level. More items

There is 1 question to complete.