Chapter 10: Tubes, Lines, and Other Device Practice Questions

In what position should an alert patient whose swallowing reflex is intact be placed in

preparation for suctioning?

A. Lateral

B. Prone

C. Sims

D. Semi-Fowler

D. Semi-Fowler

When caring for a patient who has a chest tube with water-sealed drainage, what must be remembered? (Circle all that apply)

A. The tubing may be clamped if necessary.

B. Continuous bubbling into the water-sealed chamber is an indication that all is well.

C. Most patients with chest tubes complain of respiratory distress.

D. Never lift the drainage system above the patient's chest.

E. The water seal must be maintained at all times.

D. Never lift the drainage system above the patient's chest.

E. The water seal must be maintained at all times.

When caring for a patient who has a tissue drain in place, the following precautions must be taken:

A. Remove the drain because it impedes the success of the radiograph.

B. Prevent tension on the drain and use surgical aseptic technique if in direct contact with the drain.

C. Disregard these drains because they are not the technologist's concern.

D. Measure intake and output from the drain

B. Prevent tension on the drain and use surgical aseptic technique if in direct contact with the drain.

What are two points to remember when caring for patients with a new tracheostomy in

place?

A. They are in the stage of denial and will express anger.

B. They will be anxious and unable to speak.

C. They are unconscious and will be accompanied by a nurse.

D. They may be talkative and may need to be suctioned

B. They will be anxious and unable to speak.

If the patient has the large bowel removed at the sigmoid area and the opening is made on the anterior surface of the abdomen, the patient is said to have a(n):

A. Sigmoidostomy

B. Colostomy

C. Ileostomy

D. Colonostomy

A. Sigmoidostomy

What should the radiographer do while caring for a patient who has an NG tube in place?

(Circle all that apply)

A. Remove the tube before the patient leaves the department.

B. Wrap the end of the tube with gauze while it is not connected to suction.

C. Take care not to dislodge the tube.

D. Find out if the tube is to be reconnected to suction and, if so, what is the amount of pressure.

B. Wrap the end of the tube with gauze while it is not connected to suction.

C. Take care not to dislodge the tube.

D. Find out if the tube is to be reconnected to suction and, if so, what is the amount of pressure.

Signs and symptoms that indicate a patient needs to be suctioned are: (Circle all that apply)

A. Signs of respiratory distress

B. Profuse vomiting in a patient who cannot voluntarily change positions

C. Gagging

D. Audible rattling and gurgling sounds from the patient's throat

A. Signs of respiratory distress

B. Profuse vomiting in a patient who cannot voluntarily change positions

C. Gagging

D. Audible rattling and gurgling sounds from the patient's throat

What are three types of (NE) tube?

Cantor tube, carries tube, miller-abbott tube

What is the purpose of Cantor Tube?

Relieves small bowel obstruction.

What is the purpose of Carries Tube?

Gastric and intestinal decompression.

What is the purpose of Miller-Abbott Tube

Used for decompression.

What is the purpose of Nasogastric (NG) Tube ?

• Keep the stomach free of gastric contents and/or air.

• Used for healing purposes before or after surgery.

• Diagnostic examinations.

• Administering medications.

• Controlling bleeding.

What is the purpose of Gastrostomy Tube?

Feeding patients who cannot eat normally.

What is the purpose of Endotracheal Tubes (ETT)?

Establish an airway.

Reasons for collapsed lungs:

• Pneumothorax: Air enters the pleural cavity.

• Hemothorax: Blood enters the pleural cavity.

• Pleural Effusion: Excessive fluid buildup due to infection. Normally, there is around 30 ml of fluid in the pleural cavity.

What is used to when the lungs are collapsed due to air or fluid accumulation in the pleural cavity?

The chest tube is inserted into the pleural cavity. The water seal drainage system is connected to the chest tube to remove extra fluid and is typically kept below chest level.

What are the purpose of Central Venous Catheters?

• Long-term medication administration.

• Frequent blood transfusions.

• Total parenteral nutrition.

• Measuring central venous pressure.

Where is Central venous catheters placed?

At the junction of the brachiocephalic vein and the superior vena cava (SVC), avoiding entry into the right atrium.

Where is Peripherally inserted central catheters (PICCs) placed?

Placed with the tip at the junction of the SVC and the right atrium.

If the catheter goes into the right atrium, it can irritate the sinoatrial (SA) node and cause arrhythmias.

What are the two types of drains?

• Pento's drainage

• Jackson-Brett drain: Uses a ball at the end of the suction tube to aid drainage.

• Hemovac: A suction container that drains blood from wounds.

What are two types of catheters for UTI?

• Straight Catheters: Used for immediate bladder drainage and removed after the bladder is emptied.

• Indwelling Catheters: Remain in the bladder for days, depending on the need. The bag must be kept below the bladder level to prevent retrograde infection.

What are Suprapubic catheters?

Are inserted above the pubic area for drainage and then removed.

They are less common due to being more invasive than Foley catheters.

What is Retrograde pyelography?

Involves injecting dye through the bladder, up the ureters, and into the kidneys to assess renal function.

What are Ureteral stents?

Are placed from the renal pelvis into the urinary bladder to drain urine from the kidney.

What happens when the Endotracheal (ET) tube is placed too low?

If the tube is placed too low, it may enter the right bronchus, leading to the collapse of the left lung.

What happens when the Endotracheal (ET) tube is placed too high?

If the tube is placed too high, air may enter the stomach, causing regurgitation and potentially leading to aspiration pneumonia.

What are the purposes of Nasogastric (NG) tube?

• Suction

• Decompression

What are the common NG tube?

• Levin Tube - a single-lumen tube used for gastric decompression, feeding, or medication administration.

• Sump Tube - double-lumen tube designed to prevent the tube from adhering to the stomach wall, facilitating continuous gastric drainage.

• Nutriflex - used for feeding and to control bleeding from esophageal varices.

• Sengstaken-Blakemore esophageal tube