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concept of nursing 2
closed chest drainage system- lesson 4
Question | Answer |
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When turning a patient with a right-sided hemothorax, 250 mL of dark blood pours into the chest tube container. What is the most important intervention? | Monitoring the patient closely, obtaining a blood sample for a hematocrit, and documenting the drainage. |
A patient arrives in the emergency department with a stab wound to the chest with a hemothorax as a result. Which of the following findings contraindicates autotransfusion of pleural blood? | A wound 7 hours old. |
While assessing an intubated patient, the nurse notes that the patient is pale, hypotensive, tachycardic, and has oliguria. The patient has a hemothorax on the right side and bilateral femur fractures. | -- |
The chest tube has drained 350 mL over the previous 2 hours. What does the nurse know? | This patient is hypovolemic from blood loss and is an appropriate candidate for autotransfusion. |