Nokea
The healthcare provider is caring for a client with a chest tube following thoracic surgery. Which intervention should the healthcare provider include in the plan of care?
- A. Clamp the chest tube for 30 minutes every 2 hours.
- B. Milk the chest tube to ensure patency.
- C. Keep the drainage system at the level of the chest.
- D. Ensure that the chest tube is not clamped or kinked.
Correct Answer: D
Rationale: Ensuring that the chest tube is not clamped or kinked is essential to maintain proper drainage and prevent complications. Clamping the chest tube can lead to a buildup of pressure in the pleural space, causing potential harm to the client. Milking the chest tube is not recommended as it can cause damage to the delicate tubing. Keeping the drainage system at the level of the chest ensures proper drainage by gravity, preventing backflow of fluids, but ensuring the tube is not clamped or kinked takes precedence in this scenario.
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A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
- A. lectures by mental health professionals
- B. interactive workshops on stress management
- C. distribution of mental health resources
- D. screenings for depression and anxiety
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a client with a chest tube. Which intervention is most important to include in the plan of care?
- A. Maintain continuous suction on the chest tube.
- B. Clamp the chest tube during client movement.
- C. Ensure that the chest tube is clamped for at least 8 hours each day.
- D. Keep the collection chamber below the level of the chest.
Correct Answer: D
Rationale: Keeping the collection chamber below the level of the chest is crucial in caring for a client with a chest tube. This positioning helps ensure proper drainage of fluids and prevents complications such as backflow of drainage into the chest cavity. Option A is incorrect as continuous suction can lead to excessive drainage and tissue damage. Option B is incorrect as clamping the chest tube during client movement can cause a buildup of pressure and compromise proper drainage. Option C is incorrect because clamping the chest tube for extended periods can impede the drainage process, leading to potential complications.
The healthcare professional is developing a teaching plan for an adolescent with a Milwaukee brace. Which instruction should the healthcare professional include?
- A. Wear the brace over a T-shirt for 23 hours a day.
- B. Remove the brace while sleeping.
- C. Wear the brace directly against the skin.
- D. Remove the brace while eating.
Correct Answer: A
Rationale: The correct answer is A. A Milwaukee brace should be worn over a T-shirt for 23 hours a day to reduce friction and chafing of the skin. This ensures that the brace is not directly against the skin, which can cause discomfort and skin irritation. Choice B is incorrect because the brace should typically be worn continuously, even while sleeping, unless otherwise instructed by a healthcare provider. Choice C is incorrect as wearing the brace directly against the skin can lead to skin issues. Choice D is incorrect since the brace should not be removed while eating to maintain the prescribed wear time.
The healthcare professional is developing a community health program to address the high rates of childhood asthma in a neighborhood. Which intervention should the healthcare professional prioritize?
- A. conducting home visits to identify asthma triggers
- B. distributing asthma education materials at schools
- C. holding workshops on asthma management for parents
- D. partnering with local healthcare providers to offer free asthma screenings
Correct Answer: A
Rationale: The healthcare professional should prioritize conducting home visits to identify asthma triggers as it is crucial for reducing asthma attacks in children. By identifying triggers in the home environment, interventions can be implemented to create a safer living space for children with asthma. Distributing asthma education materials at schools may be helpful, but addressing triggers at the source is more direct and impactful. Holding workshops on asthma management for parents is valuable, but identifying triggers should come first to prevent asthma exacerbations. Partnering with local healthcare providers to offer free asthma screenings focuses on detection rather than prevention through trigger identification.
During a home visit, a nurse observes an older client who is attempting to ambulate to the bathroom and notes that the client is unsteady and holds on to the furniture while refusing any assistance. Which action should the nurse implement?
- A. determine home navigational safety hazards
- B. maintain the client's privacy while in the bathroom
- C. recommend that the client obtain a walker
- D. encourage the client to obtain a medical alert device
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.