Pleural Disorders Quiz

<p>Congestive heart failure (B)</p> Signup and view all the answers

<p>Positioning the patient sitting upright and leaning forward (D)</p> Signup and view all the answers

<p>Assessing for continuous bubbling in the water seal chamber (A)</p> Signup and view all the answers

<p>Position the patient on the affected side (A)</p> Signup and view all the answers

<p>Chest X-ray (C)</p> Signup and view all the answers

<p>Prepare for needle decompression (D)</p> Signup and view all the answers

<p>“I should report any sudden increase in drainage.” (D)</p> Signup and view all the answers

<p>Absent breath sounds on the affected side (A)</p> Signup and view all the answers

<p>Restore negative intrapleural pressure (A)</p> Signup and view all the answers

<p>A 22-year-old tall, thin male who smokes (B)</p> Signup and view all the answers

<p>Assess for tube dislodgment or air leaks (A)</p> Signup and view all the answers

<p>Pain worsens with deep breathing (D)</p> Signup and view all the answers

<p>Pleural effusion (D)</p> Signup and view all the answers

<p>Assess for an air leak in the water seal chamber (C)</p> Signup and view all the answers

<p>A patient with bacterial pneumonia (A)</p> Signup and view all the answers

<p>Prevent fluid reaccumulation (B)</p> Signup and view all the answers

<p>Normal function (A)</p> Signup and view all the answers

<p>Decreased breath sounds on the affected side (B)</p> Signup and view all the answers

<p>Perform needle decompression (D)</p> Signup and view all the answers

<p>“I will clamp the tube before ambulating the patient.” (B)</p> Signup and view all the answers

<p>Sudden onset of dyspnea and pleuritic chest pain (A)</p> Signup and view all the answers

<p>Pulse oximetry reading above 92% (B)</p> Signup and view all the answers

<p>Tracheal deviation (D)</p> Signup and view all the answers

<p>Crepitus around the puncture site (B)</p> Signup and view all the answers

<p>Sudden severe respiratory distress (B)</p> Signup and view all the answers

<p>Chest X-ray (D)</p> Signup and view all the answers

<p>A patient on mechanical ventilation (D)</p> Signup and view all the answers

<p>Tracheal deviation to the opposite side (A)</p> Signup and view all the answers

<p>Administering broad-spectrum antibiotics (A)</p> Signup and view all the answers

<p>Assess the tube for kinks or obstructions (A)</p> Signup and view all the answers

<p>Encouraging incentive spirometer use (A)</p> Signup and view all the answers

<p>Encourage deep breathing and splinting the chest (D)</p> Signup and view all the answers

<p>Urticaria and hypotension (C)</p> Signup and view all the answers

<p>Continuous bubbling in the water seal chamber (D)</p> Signup and view all the answers

<p>Decreased blood pressure and tachycardia (C)</p> Signup and view all the answers

<p>Create adhesions between pleural layers (B)</p> Signup and view all the answers

<p>Sudden cessation of drainage (C)</p> Signup and view all the answers

<p>“I should avoid smoking and high altitudes.” (A)</p> Signup and view all the answers

<p>Thoracentesis with fluid analysis (B)</p> Signup and view all the answers

<p>Sitting upright, leaning forward (A)</p> Signup and view all the answers

<p>Early ambulation and deep breathing (B)</p> Signup and view all the answers

<p>Tachypnea (C)</p> Signup and view all the answers

<p>Absence of bubbling in the water seal chamber (B)</p> Signup and view all the answers

<p>Secondary spontaneous (D)</p> Signup and view all the answers

<p>Elevate the head of the bed (D)</p> Signup and view all the answers

<p>Perform needle decompression (D)</p> Signup and view all the answers

<p>Drain fluid or air from the pleural space (C)</p> Signup and view all the answers

A clinical manifestation indicating fluid in the pleural space due to pleural effusion.

To remove blood and restore lung expansion in hemothorax cases.

Tracheal deviation to the unaffected side due to increased intrapleural pressure.

Most commonly caused by congestive heart failure, leading to fluid leakage.

The patient should be sitting upright and leaning forward for easier fluid drainage.

Assess for continuous bubbling in the water seal chamber to check for an air leak.

Position the patient on the affected side to reduce pain.

A chest X-ray is the most commonly used diagnostic test.

Immediate preparation for needle decompression is crucial.

Report any sudden increase in drainage as it may indicate hemorrhage.

Expected finding includes absent breath sounds on the affected side.

Restore negative intrapleural pressure for lung expansion.

Young, tall, thin smokers are most commonly affected.

Assess for tube dislodgment or air leaks when subcutaneous emphysema develops.

Pain that worsens with deep breathing suggests pleuritic pain rather than cardiac pain.

Suggests pleural effusion, as seen in a lung cancer history.

Assess for air leaks in the water seal chamber immediately after insertion.

Patients with bacterial pneumonia are at the highest risk.

To prevent fluid reaccumulation by creating adhesions between pleural layers.

Continuous bubbling in the suction control chamber indicates normal function, while in water seal, it denotes a leak.

Decreased breath sounds on the affected side indicate blood collection in the pleural space.

Perform needle decompression when tracheal deviation is noted.

Encourage use of incentive spirometry to prevent pulmonary complications.

Absent breath sounds expected on the side affected by pneumothorax.

Clamping of the tube should not be done without specific orders as it can lead to risks.

Crepitus around the puncture site suggests air leakage into subcutaneous tissue.

A chest X-ray is the best method to confirm lung re-expansion after tube placement.

Patients on mechanical ventilation are at high risk for developing tension pneumothorax.

Sudden severe respiratory distress indicates possible recurrent pneumothorax and requires evaluation.

Encourage early ambulation and deep breathing post surgery to prevent pneumonia.

Tachypnea expected as a result of low oxygenation from lung collapse.

Absence of bubbling in the water seal chamber indicates resolution of the air leak or lung re-expansion.

Patients with COPD experience secondary spontaneous pneumothorax due to lung damage.

Elevate the head of the bed to improve lung expansion and oxygenation.

Needle decompression is the priority action in emergencies of tension pneumothorax.

To drain fluid or air from the pleural space to assist lung re-expansion.