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.

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 C

Explanation

This option addresses the client's financial concerns by helping in finding resources or programs that can help cover the cost of medication, such as patient assistance programs or low-cost medication options.

A, B - does not address the client's concerns

D. An occupational therapist has no role in the social welfare of a client.

Correct Answer is ["<p>Client urinating 100 mL\/hour. Client is tolerating soft diet and oral fluids<\/p>\r\n\r\n<p>Bilateral pedal pulses 2+. Blood glucose 310 mg\/dL (74 to 106 mg\/dL)<\/p>\r\n\r\n<p>Pulse rate 84\/min<\/p>\r\n\r\n<p>Blood pressure 106\/76 mm Hg<\/p>"]

Explanation

The frequency and amount of urination indicates that the body in able to utilize glucose reducing glucosuria and osmotic diuresis.

The ability to tolerate oral intake also indicates an improvement in the client’s general health

Improvement in perception of pedal pulses indicates an improvement in the hydration status of the client

A normal pulse rate and blood pressure is an indicator of optimal hydration status- an improvement from the severely dehydrated state.

The blood glucose levels is dropping indicating an improvement in the glycemic control

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 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

A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

Correct Answer is ["<p>Client urinating 100 mL\/hour. Client is tolerating soft diet and oral fluids<\/p>\r\n\r\n<p>Bilateral pedal pulses 2+. Blood glucose 310 mg\/dL (74 to 106 mg\/dL)<\/p>\r\n\r\n<p>Pulse rate 84\/min<\/p>\r\n\r\n<p>Blood pressure 106\/76 mm Hg<\/p>"]

Explanation

A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's?

A nurse is admitting a client who has neutropenia. Which of the following precautions should the nurse take?

A nurse is assessing a client who is receiving morphine for pain and has a respiratory rate of 8/min and a blood pressure of 80/40 mm Hg. Which of the following medications should the nurse administer?

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?