A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?

Loop the tubing of the chest tube on the client’s bed.

Strip the client’s chest tube every 2 hrs.

Place the chest tube drainage system below the level of the client’s heart.

Tape the connections on the client’s chest tube.

Answer and Explanation

The Correct Answer is C

A. Loop the tubing of the chest tube on the client’s bed:
Looping the tubing may create dependent loops that can trap drainage and prevent effective functioning of the chest tube. It can impede the drainage of air or fluid from the pleural space.

B. Strip the client’s chest tube every 2 hrs:
Stripping or milking the chest tube is an outdated practice. It can cause trauma to the tissue surrounding the chest tube and increase the risk of complications, including damage to the lung tissue or tubing.

C. Place the chest tube drainage system below the level of the client’s heart:
This is the correct action. Placing the chest tube drainage system below the level of the client's chest allows gravity to assist with drainage and prevents backflow or accumulation of fluids within the chest tube.

D. Tape the connections on the client’s chest tube:
Taping the connections on the chest tube is not recommended. It is important to keep connections secure, but taping can make it difficult to quickly identify and address any issues with the chest tube system during monitoring and assessment.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Transformational leader:
Transformational leaders are characterized by their ability to inspire and motivate followers to achieve exceptional outcomes. They focus on building relationships, fostering creativity, and encouraging individual and team growth. Transformational leaders are often seen as visionary and charismatic.

B. Situational leader:
Situational leadership is a flexible approach where leaders adjust their style based on the situation and the readiness or maturity of their followers. The leader may use different leadership styles, ranging from directing to delegating, depending on the circumstances.

C. Bureaucratic leader:
Bureaucratic leaders strictly enforce rules and regulations. They rely on established policies and procedures to maintain order and control within the organization. This style is often associated with a more structured and rule-based approach to leadership.

D. Laissez-faire leader:
Laissez-faire leaders adopt a hands-off or delegative approach, providing little guidance or direction to their team members. They allow team members a high degree of autonomy and decision-making authority. While this style can promote creativity and independence, it may lead to a lack of structure and accountability in certain situations.

A. A client who is taking a thiazide diuretic B. A client who is vomiting C. A client who has diarrhea D. A client who is having an acute anxiety attack

Correct Answer is C

Explanation

A. A client who is taking a thiazide diuretic:
Thiazide diuretics can cause loss of potassium and metabolic alkalosis, not metabolic acidosis.

B. A client who is vomiting:
Vomiting can lead to the loss of stomach acid (hydrochloric acid) and may result in metabolic alkalosis, not metabolic acidosis.

C. A client who has diarrhea.
Diarrhea can lead to the loss of bicarbonate, an important buffer in the body that helps maintain acid-base balance. The loss of bicarbonate in diarrhea can result in an excess of acid, contributing to metabolic acidosis.

D. A client who is having an acute anxiety attack:
Acute anxiety is not typically associated with metabolic acidosis. It is not directly related to changes in acid-base balance.

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A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?

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