The Patient with a Mediastinal Tube Placed 22 Hours Ago

question 4

Multiple Choice

The patient with a mediastinal tube placed 22 hours ago has produced 350 mL of drainage since insertion.Which action by the nurse would be most appropriate?

• A) Notify the health care provider of excessive bleeding.
• B) Document the drainage output in the patient record.
• C) Place extra dressings and tape over the insertion site.
• D) Clamp the mediastinal tube to test tolerance for removal.

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Definitions:

Nonverbal Communication

Involves the transmission of messages or signals through a non-linguistic means, such as facial expressions, body language, and gestures.

Incivility

Discourteous communication and rude behavior that are disrespectful, hurtful, or injurious.

Consequences

Consequences refer to the results or outcomes that naturally follow from an action, behavior, or decision.

Barriers

Obstacles that impede progress, communication, or achievement, which can be physical, psychological, or systemic in nature.