A nurse is caring for a client following an insertion of a chest tube drainage system for a pneumothorax. Which of the following manifestations should the nurse expect the client to demonstrate?

Gentle bubbling in the water seal chamber

Drainage and warmth at tube insertion site

Crackling sensation felt around tube insertion site

Drainage output less than 70 mL/hr

Answer and Explanation

The Correct Answer is A

A.   Bubbling indicates that the system is functioning properly and that air is being evacuated from the pleural space.
B.   Drainage and warmth at the tube insertion site could indicate inflammation or infection, which are potential complications following insertion of a chest tube.
C.   Crackling sensation felt around tube insertion site could indicate subcutaneous emphysema, which occurs when air leaks into the tissues surrounding the chest tube insertion site. It's a potential complication of chest tube insertion and should be monitored closely

D.   The specific amount can vary.

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Correct Answer is D

Explanation

D. Propofol is an emulsion formulation that contains egg lecithin as an ingredient. Therefore, individuals with an egg allergy may be at risk for allergic reactions to propofol. It is essential for the nurse to identify any egg allergies in preoperative clients to prevent potential adverse reactions to propofol.
A. Propofol is not derived from strawberries, and there is no cross-reactivity between propofol and strawberries.
B. While shellfish allergies are common, there is no known cross-reactivity between shellfish and propofol.
C. Avocado allergy is not associated with potential reactions to propofol.

A. Chloride level B. Creatinine kinase C. Uric acid D. Intrinsic factor

Correct Answer is C

Explanation

C. Uric acid is the end product of purine metabolism, and elevated levels of uric acid in the blood can predispose individuals to gout. In acute gout, there is often a marked increase in serum uric acid levels due to the release of uric acid from the breakdown of purines during the inflammatory process.
A. Chloride level is not directly associated with acute gout.
B. Creatinine kinase (CK) is an enzyme found in various tissues, including muscle tissue. Elevated CK levels are associated with muscle damage or injury, such as in cases of muscle trauma, myocardial infarction, or rhabdomyolysis.
D. Intrinsic factor is a glycoprotein produced by the parietal cells of the stomach that is necessary for the absorption of vitamin B12 in the small intestine.

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A nurse is caring for a client following an insertion of a chest tube drainage system for a pneumothorax. Which of the following manifestations should the nurse expect the client to demonstrate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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