A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls.

Which of the following statements should the nurse make?

"This indicates a possible air leak.".

"This means your lung is fully re-expanded.".

"Your breathing pattern causes this.".

"Suction pressure that is too high causes this.".

Answer and Explanation

The Correct Answer is C

The fluctuation of fluid in the water-seal chamber of a chest tube is known as tidaling and is caused by the changes in pressure within the chest during respiration.
Choice A is not correct because tidaling does not indicate an air leak.
Choice B is not correct because tidaling does not necessarily mean that the lung is fully re-expanded.
Choice D is not correct because suction pressure does not cause tidaling.

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Correct Answer is D

Explanation

The nurse should palpate the dorsalis pedis pulse.

This is to assess for peripheral neurovascular dysfunction, which is a potential complication of a tibial fracture.
Choice A, wrapping sterile gauze on the sharp point of the pins, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.
Choice B, adjusting the clamps on the fixator frame, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.
Choice C, maintaining the affected extremity in a dependent position, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.

A. Oral contraceptive use. B. Cirrhosis. C. Hypertension. D. NSAID use.

Correct Answer is A

Explanation

Oral contraceptive use is a risk factor for the development of DVTs.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.

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A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTS?

Correct Answer is A

Explanation

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A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls.

Which of the following statements should the nurse make?