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Questions and Answers
The nurse is assessing a patient with suspected pleural effusion. Which clinical manifestation is most consistent with this diagnosis?
The nurse is assessing a patient with suspected pleural effusion. Which clinical manifestation is most consistent with this diagnosis?
- Diminished breath sounds (correct)
- Hyperresonance on percussion
- Increased fremitus
- Barking cough
A patient with a hemothorax is scheduled for a chest tube insertion. What is the primary purpose of the chest tube in this scenario?
A patient with a hemothorax is scheduled for a chest tube insertion. What is the primary purpose of the chest tube in this scenario?
- Deliver oxygen directly into the pleural space
- Remove blood and restore lung expansion (correct)
- Drain accumulated air
- Prevent fluid overload
Which of the following is a hallmark sign of a tension pneumothorax?
Which of the following is a hallmark sign of a tension pneumothorax?
- Tracheal deviation to the unaffected side (correct)
- Peripheral cyanosis
- Decreased respiratory rate
- Bilateral wheezing
Which condition is most commonly associated with a transudative pleural effusion?
Which condition is most commonly associated with a transudative pleural effusion?
A nurse is preparing a patient for thoracentesis. Which action is the priority?
A nurse is preparing a patient for thoracentesis. Which action is the priority?
Which intervention is appropriate for a patient with a pneumothorax receiving a chest tube?
Which intervention is appropriate for a patient with a pneumothorax receiving a chest tube?
A patient with pleurisy reports sharp, stabbing chest pain. What intervention should the nurse prioritize?
A patient with pleurisy reports sharp, stabbing chest pain. What intervention should the nurse prioritize?
Which diagnostic test is most commonly used to confirm a pleural effusion?
Which diagnostic test is most commonly used to confirm a pleural effusion?
What is the most critical initial action for a patient with suspected tension pneumothorax?
What is the most critical initial action for a patient with suspected tension pneumothorax?
Which statement indicates effective patient teaching about home care with a chest tube?
Which statement indicates effective patient teaching about home care with a chest tube?
A nurse is assessing a patient with a pneumothorax. Which breath sound finding is expected?
A nurse is assessing a patient with a pneumothorax. Which breath sound finding is expected?
The primary goal of treatment for pleural disorders is to:
The primary goal of treatment for pleural disorders is to:
Which patient is at highest risk for developing a primary spontaneous pneumothorax?
Which patient is at highest risk for developing a primary spontaneous pneumothorax?
A patient with a chest tube develops subcutaneous emphysema. What action should the nurse take?
A patient with a chest tube develops subcutaneous emphysema. What action should the nurse take?
Which assessment finding suggests pleuritic pain rather than cardiac pain?
Which assessment finding suggests pleuritic pain rather than cardiac pain?
A patient with a history of lung cancer develops dyspnea and dullness to percussion over the left lower lung field. Which condition is most likely?
A patient with a history of lung cancer develops dyspnea and dullness to percussion over the left lower lung field. Which condition is most likely?
What is the priority nursing action for a patient with a newly inserted chest tube?
What is the priority nursing action for a patient with a newly inserted chest tube?
Which patient has the highest risk for developing empyema?
Which patient has the highest risk for developing empyema?
What is the primary purpose of pleurodesis in a patient with recurrent pleural effusions?
What is the primary purpose of pleurodesis in a patient with recurrent pleural effusions?
The nurse notes continuous bubbling in the suction control chamber of a chest drainage system. What does this indicate?
The nurse notes continuous bubbling in the suction control chamber of a chest drainage system. What does this indicate?
What assessment finding is expected in a patient with a hemothorax?
What assessment finding is expected in a patient with a hemothorax?
A patient presents with acute dyspnea, tracheal deviation to the right, and absent breath sounds on the left. What is the nurse's priority intervention?
A patient presents with acute dyspnea, tracheal deviation to the right, and absent breath sounds on the left. What is the nurse's priority intervention?
The nurse is reviewing chest tube management with a student. Which statement indicates the student needs further teaching?
The nurse is reviewing chest tube management with a student. Which statement indicates the student needs further teaching?
A patient is diagnosed with a spontaneous pneumothorax. Which finding would the nurse expect?
A patient is diagnosed with a spontaneous pneumothorax. Which finding would the nurse expect?
A patient with a pleural disorder is receiving oxygen therapy. What is the best indicator of effective oxygenation?
A patient with a pleural disorder is receiving oxygen therapy. What is the best indicator of effective oxygenation?
Which sign differentiates a tension pneumothorax from a simple pneumothorax?
Which sign differentiates a tension pneumothorax from a simple pneumothorax?
Which finding suggests a complication of a thoracentesis?
Which finding suggests a complication of a thoracentesis?
The nurse assesses a patient after a chest tube removal. Which finding requires immediate intervention?
The nurse assesses a patient after a chest tube removal. Which finding requires immediate intervention?
What is the best method to confirm lung re-expansion after chest tube placement?
What is the best method to confirm lung re-expansion after chest tube placement?
Which patient is at greatest risk for developing a tension pneumothorax?
Which patient is at greatest risk for developing a tension pneumothorax?
The nurse is caring for a patient with a chest tube following a pneumothorax. Which assessment requires immediate action?
The nurse is caring for a patient with a chest tube following a pneumothorax. Which assessment requires immediate action?
A nurse is caring for a patient with empyema. Which intervention is the priority?
A nurse is caring for a patient with empyema. Which intervention is the priority?
A patient has a chest tube inserted for a pneumothorax. The nurse notes that the water seal chamber has no bubbling. What is the most appropriate action?
A patient has a chest tube inserted for a pneumothorax. The nurse notes that the water seal chamber has no bubbling. What is the most appropriate action?
The nurse is caring for a patient post-thoracotomy. Which intervention is the most important for preventing pulmonary complications?
The nurse is caring for a patient post-thoracotomy. Which intervention is the most important for preventing pulmonary complications?
Which nursing intervention is most appropriate for a patient with pleurisy?
Which nursing intervention is most appropriate for a patient with pleurisy?
A patient with a hemothorax is receiving a blood transfusion. Which finding requires the nurse to stop the transfusion immediately?
A patient with a hemothorax is receiving a blood transfusion. Which finding requires the nurse to stop the transfusion immediately?
A nurse is monitoring a patient with a chest tube. Which finding is concerning?
A nurse is monitoring a patient with a chest tube. Which finding is concerning?
A nurse is assessing a patient after a thoracentesis. Which finding is most concerning?
A nurse is assessing a patient after a thoracentesis. Which finding is most concerning?
The nurse is preparing a patient for talc pleurodesis. What is the primary purpose of this procedure?
The nurse is preparing a patient for talc pleurodesis. What is the primary purpose of this procedure?
A nurse is caring for a patient with a chest tube post-lobectomy. Which finding is most concerning?
A nurse is caring for a patient with a chest tube post-lobectomy. Which finding is most concerning?
The nurse is teaching a patient about prevention of spontaneous pneumothorax recurrence. Which statement indicates effective teaching?
The nurse is teaching a patient about prevention of spontaneous pneumothorax recurrence. Which statement indicates effective teaching?
The nurse is evaluating a patient for a pleural disorder. Which diagnostic test is most definitive?
The nurse is evaluating a patient for a pleural disorder. Which diagnostic test is most definitive?
A patient with a pleural effusion is scheduled for thoracentesis. What is the correct patient positioning?
A patient with a pleural effusion is scheduled for thoracentesis. What is the correct patient positioning?
What is the best method for preventing pleural infections after chest surgery?
What is the best method for preventing pleural infections after chest surgery?
A nurse is assessing a patient with a suspected pneumothorax. Which vital sign change is expected?
A nurse is assessing a patient with a suspected pneumothorax. Which vital sign change is expected?
What is a key indication for chest tube removal?
What is a key indication for chest tube removal?
A patient with COPD is at risk for which type of pneumothorax?
A patient with COPD is at risk for which type of pneumothorax?
Which intervention is most appropriate for a patient with pleural effusion-related dyspnea?
Which intervention is most appropriate for a patient with pleural effusion-related dyspnea?
A patient develops tension pneumothorax while on mechanical ventilation. What is the priority action?
A patient develops tension pneumothorax while on mechanical ventilation. What is the priority action?
What is the primary goal of chest tube therapy?
What is the primary goal of chest tube therapy?
Flashcards
Diminished breath sounds
Diminished breath sounds
A clinical manifestation indicating fluid in the pleural space due to pleural effusion.
Chest tube purpose
Chest tube purpose
To remove blood and restore lung expansion in hemothorax cases.
Tension pneumothorax sign
Tension pneumothorax sign
Tracheal deviation to the unaffected side due to increased intrapleural pressure.
Transudative pleural effusion cause
Transudative pleural effusion cause
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Thoracentesis positioning
Thoracentesis positioning
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Pneumothorax chest tube intervention
Pneumothorax chest tube intervention
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Pleurisy priority intervention
Pleurisy priority intervention
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Confirming pleural effusion
Confirming pleural effusion
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Tension pneumothorax emergency
Tension pneumothorax emergency
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Chest tube patient teaching
Chest tube patient teaching
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Pneumothorax breath sound
Pneumothorax breath sound
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Pleural disorder treatment goal
Pleural disorder treatment goal
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Spontaneous pneumothorax risk
Spontaneous pneumothorax risk
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Chest tube subcutaneous emphysema
Chest tube subcutaneous emphysema
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Pleuritic pain indicator
Pleuritic pain indicator
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Dullness to percussion
Dullness to percussion
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Chest tube initial action
Chest tube initial action
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Highest risk for empyema
Highest risk for empyema
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Pleurodesis purpose
Pleurodesis purpose
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Chest drainage system
Chest drainage system
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Hemothorax assessment finding
Hemothorax assessment finding
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Tension pneumothorax priority intervention
Tension pneumothorax priority intervention
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Post-thoracotomy intervention
Post-thoracotomy intervention
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Pneumothorax breath sound location
Pneumothorax breath sound location
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Chest tube management teaching
Chest tube management teaching
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Complication indication of thoracentesis
Complication indication of thoracentesis
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Lung re-expansion confirmation
Lung re-expansion confirmation
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Tension pneumothorax patient risk
Tension pneumothorax patient risk
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Chest tube post-removal intervention
Chest tube post-removal intervention
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Preventing pleural infections
Preventing pleural infections
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Pneumothorax vital sign change
Pneumothorax vital sign change
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Key for chest tube removal
Key for chest tube removal
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Risk for spontaneous pneumothorax with COPD
Risk for spontaneous pneumothorax with COPD
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Intervention for pleural effusion dyspnea
Intervention for pleural effusion dyspnea
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Urgent action for tension pneumothorax
Urgent action for tension pneumothorax
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Primary chest tube goal
Primary chest tube goal
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Study Notes
Pleural Disorders Quiz
- Clinical Manifestation of Pleural Effusion: Diminished breath sounds
- Purpose of Chest Tube in Hemthorax: Remove blood and restore lung expansion.
- Hallmark Sign of Tension Pneumothorax: Tracheal deviation to the unaffected side.
- Common Condition Associated with Transudative Pleural Effusion: Congestive heart failure.
- Priority Action for Thoracentesis: Position the patient sitting upright and leaning forward
- Appropriate Intervention for Pneumothorax with Chest Tube: Assess for continuous bubbling in the water seal chamber.
- Priority Intervention for Pleuritis: Position the patient on the affected side.
- Diagnostic Test to Confirm Pleural Effusion: Chest X-ray
- Critical Initial Action for Tension Pneumothorax: Prepare for needle decompression
- Effective Patient Teaching about Home Care with Chest Tube: Report any sudden increase in drainage.
- Expected Breath Sound Finding in Pneumothorax: Absent breath sounds on the affected side.
- Primary Goal of Treatment for Pleural Disorders: Restore negative intrapleural pressure.
- Highest Risk Patient for Primary Spontaneous Pneumothorax: A 22-year-old tall, thin male who smokes.
- Nursing Action for Subcutaneous Emphysema: Assess for tube dislodgment or air leaks.
- Assessment Finding Suggesting Pleuritic Pain: Pain worsens with deep breathing.
- Condition Most Likely with Dyspnea and Dullness to Percussion: Pleural effusion
- Priority Nursing Action for Newly Inserted Chest Tube: Assess for an air leak in the water seal chamber
- Highest Risk Patient for Empyema: Patient with bacterial pneumonia.
- Primary Purpose of Pleurodesis: Prevent fluid reaccumulation.
- Normal Function Indication: Continuous bubbling in the suction control chamber.
- Assessment Finding in Hemthorax: Decreased breath sounds on the affected side.
- Priority Intervention for Acute Dyspnea and Deviation: Perform needle decompression
- Student Needs Further Teaching on Chest Tube Management: Clamping the tube before ambulating the patient.
- Finding Expected in Spontaneous Pneumothorax: Sudden onset of dyspnea and pleuritic chest pain
- Best Method to Confirm Lung Re-expansion: Chest X-ray
- Highest Risk Patient for Tension Pneumothorax: Patient on mechanical ventilation
- Concerning Assessment in Patient with Chest Tube: Tracheal deviation to the opposite side.
- Priority Intervention in Empyema: Administer broad-spectrum antibiotics.
- Appropriate Action for No Bubbling in Water Seal Chamber: Assess the tube for kinks or obstructions
- Most Important Intervention for Preventing Pulmonary Complications After Thoractomy: Encouraging incentive spirometer use
- Nursing Intervention for Pleurisy: Encourage deep breathing and splinting the chest
- Concerning Finding After Thoracentesis: Decreased blood pressure and tachycardia.
- Primary Purpose of Talc Pleurodesis: Create adhesions between pleural layers.
- Concerning Finding with Chest Tube after Lobectomy: Sudden cessation of drainage
- Best Method to Prevent Pleural Infection after Chest Surgery: Early ambulation and deep breathing
- Expected Vital Sign Change in Pneumothorax: Increased respiratory rate
- Key Indication for Chest Tube Removal: Absence of bubbling in the water seal chamber
- COPD Patient Risk for Pneumothorax: Secondary spontaneous
- Appropriate Intervention for Pleural Effusion-Related Dyspnea: Elevate the head of the bed.
- Priority Action in Tension Pneumothorax: Perform needle decompression.
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