Page 517 - Clinical Application of Mechanical Ventilation

Procedures Related to Mechanical Ventilation 483

Self-Assessment Questions

1. Indications for chest tube placement include all of the following except :
A. tension pneumothorax. C. chest trauma.
B. pleural effusion. D. hemothorax.

2. The sharp pointed instrument for incision into the chest cavity for chest tube placement is called a:
A. trocar. C. needle.
B. chest tube. D. blade.

3. The ideal location of chest tube placement for drainage of pleural fluid is at the:
A. second to third intercostal space at the midaxillary line.
B. fourth to sixth intercostal space at the midaxillary line.
C. second to third intercostal space at the midclavicular line.
D. fourth to sixth intercostal space at the midclavicular line.

4. During chest tube insertion, Dr. Farland enters the chest wall by going _______ the rib because _______.

A. above, blood vessels and nerves lie below the rib
B. above, this location is easier to puncture
C. below, blood vessels and nerves lie above the rib
D. below, this location is easier to puncture

5. In a three-chamber drainage system, the amount of suction applied to the pleural space is determined by
the _______ in the suction control chamber.

A. water level and submersion depth of the venting tube
B. amount of pleural fluid in the chamber
C. wall vacuum level
D. all of the above

6. A flexible bronchoscope may perform all of the following except :
A. visual inspection of the airway.
B. collection of specimens.
C. suction.
D. removal of large tumor.

7. Dr. Kingston asks a therapist to prepare the patient for bronchoscopy and to reduce the irritation to the
mucosal membrane caused by the tube. The therapist should administer _______ via aerosol nebulizer
about _______ before the procedure.

A. atropine sulfate, 10 min C. lidocaine, 10 min
B. atropine sulfate, 30 min D. lidocaine, 30 min

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