Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Respiratory

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You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:
  1. Remain very still.
  2. Inhale and exhale quickly.
  3. Exhale slowly.
  4. Perform the Valsalva’s maneuver.
Explanation
Answer: D - The nurse should instruct the patient to perform the Valsalva’s maneuver (take a deep breathe, exhale and bear down). Then the tube would be quickly removed and an airtight dressing placed. An alternative would be to ask the patient to take a deep breathe and hold the breath while the tube is removed.
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