A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal.
Which of the following is an explanation for the tidaling?

The lung has re-expanded.

There is a loop of tubing below the drainage system.

The system is working properly.

The tubing is partially obstructed by clots.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C, the system is working properly.

Choice A rationale: The lung has re-expanded is incorrect. If the lung has re-expanded, there would be no tidaling in the water seal chamber, as the pleural space would be restored to its normal negative pressure. Tidaling indicates that there is still air or fluid in the pleural space that needs to be drained

Choice B rationale: There is a loop of tubing below the drainage system is incorrect. A loop of tubing below the drainage system would not cause tidaling in the water seal chamber, but it could cause fluid accumulation in the tubing, which could impair the drainage and increase the risk of infection. The tubing should be straight and free of kinks or loops

Choice C rationale: The system is working properly is correct. Tidaling in the water seal chamber means that the water level rises and falls with the patient’s respirations. This is normal and expected, as it indicates that the chest tube is patent and connected to the pleural space, and that the drainage system is airtight and preventing air or fluid from entering the pleural space. Tidaling should stop when the lung is fully re-expanded or the chest tube is clamped

Choice D rationale: The tubing is partially obstructed by clots is incorrect. If the tubing is partially obstructed by clots, there would be no tidaling in the water seal chamber, as the chest tube would not be able to drain the air or fluid from the pleural space. The water level in the water seal chamber would be stagnant, and the patient may experience respiratory distress. The tubing should be checked regularly for clots and milked gently if needed

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Acknowledging the difficulty of caring for a terminally ill person is empathetic, but it doesn't offer a solution to the son's problem. The nurse should provide practical assistance or information to help alleviate the son's stress and fatigue.

Choice B rationale:

(Correct Choice) Offering information about respite care is appropriate in this situation. Respite care provides temporary relief to caregivers, allowing them to take a break from their caregiving responsibilities. Providing information about available resources can empower the son to make decisions that support his well-being and the well-being of his mother.

Choice C rationale:

Suggesting a sleeping pill before bed might not be appropriate without a healthcare provider's assessment. Additionally, relying on medication alone might not address the underlying stress and fatigue the son is experiencing.

Choice D rationale:

Praising the son for his caregiving efforts is supportive, but it doesn't offer a solution to his lack of sleep. While encouragement and recognition are important, addressing the son's immediate need for rest and support should be the priority.

A. A client who has a prescription for compression stockings and did not receive them. B. A client who consumes all the food from their meal tray. C. A client who requests to sit in the bedside chair while watching TV. D. A client who requests assistance to use the bedside commode.

Correct Answer is A

Explanation

Choice A rationale:

The nurse should instruct the assistive personnel (AP) to report the client who has a prescription for compression stockings but did not receive them. This situation involves a missed intervention that is crucial for the client's health and safety. Reporting this to the nurse allows timely intervention and ensures that the client receives the necessary care.

Choice B rationale:

Consuming all the food from the meal tray is not a cause for concern and does not require immediate reporting to the nurse. It is a normal behavior and does not indicate any potential issues with the client's health or safety.

Choice C rationale:

The client's request to sit in the bedside chair while watching TV is a common and appropriate request. It does not pose any risk to the client's health or safety and does not require immediate reporting to the nurse.

Choice D rationale:

A client requesting assistance to use the bedside commode indicates a need for assistance with a basic activity of daily living. The AP should assist the client with this request as appropriate and does not need to report it to the nurse unless complications or concerns arise during the process.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is visiting with the son of a client who has terminal cancer.The son reports sleeping very little during the past week due to caring for his mother.Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse and an assistive personnel (AP) are assigned a group of clients on the unit.Which of the following clients should the nurse instruct the AP to report to the nurse?

Correct Answer is A

Explanation

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations.Which of the following actions should the nurse include in the plan?

A nurse in the acute mental health unit is admitting a new client with an eating disorder.The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)

A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine.Which of the following laboratory values should the nurse monitor?

A nurse is caring for a client in an acute care setting. Exhibits The client is at risk for ________ as evidences by __________. Complete the following sentence by using the list of options. Pick 2 choices.

A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine.Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

A nurse is reviewing the medication administration record of a client.Which of the following prescriptions should the nurse clarify?

A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter. Which of the following actions should the nurse take when working with the interpreter?

A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal.
Which of the following is an explanation for the tidaling?