Nokea
Lack of bubbling in the suction control chamber indicates
- A. Excessive negative pressure (suction)
- B. A leak somewhere in the drainage system, as within the patient
- C. A kink or plug in the drainage tubing
- D. The patient’s lung has reexpanded
Correct Answer: D
Rationale: Reexpanded lungs stop air leakage into the drainage system.
You may also like to solve these questions
Match the phases of the nursing process with the descriptions (phases may be used more than once).
- A. None
- B. Analysis of data
- C. Priority setting
- D. Nursing interventions
Correct Answer: B
Rationale: Analysis of data corresponds to the Diagnosis phase, where health problems are identified based on assessed data.
On assessment of a patient’s learning needs, the nurse determines that a patient taking potassium-wasting diuretics does not know what foods are high in potassium. What is an appropriate nursing diagnosis for this patient?
- A. Risk for cardiac dysrhythmias related to low potassium intake
- B. Deficient knowledge related to not knowing what foods are high in potassium
- C. Imbalanced nutrition: less than body requirements related to lack of intake of potassium-rich foods
- D. Deficient knowledge related to lack of interest regarding dietary requirements when taking diuretics
Correct Answer: B
Rationale: The correct answer is 'Deficient knowledge related to not knowing what foods are high in potassium.' This nursing diagnosis directly addresses the identified learning need. While other options may be indirectly relevant, the primary issue here is the patient's lack of knowledge about potassium-rich foods.
Which physiological response is often associated with surgery-related stress?
- A. Bronchial constriction.
- B. Decreased cortisol levels.
- C. Peripheral vasodilation.
- D. Sodium and water retention.
Correct Answer: D
Rationale: Stress activates the renin-angiotensin-aldosterone system, leading to sodium and water retention.
Which nursing diagnosis is appropriate for a client on a fluid restriction?
- A. Excess fluid volume related to intake that exceeds fluid loss
- B. Altered comfort: dry mouth and thirst related to restricted oral fluid
- C. Risk for impaired skin integrity related to compromised circulation secondary to edema
- D. Fluid volume deficit secondary to dehydration
Correct Answer: B
Rationale: A fluid restriction often leads to dry mouth and thirst, making 'Altered comfort' the most relevant nursing diagnosis.
Match the following data with the assessment technique used to obtain the information.
- A. Normal blood flow through arteries
- B. Abnormal blood flow in carotid artery
- C. Tympany of the abdomen
- D. Pitting edema
Correct Answer: D
Rationale: The correct match depends on the technique: Auscultation detects normal/abnormal blood flow, percussion reveals tympany, and palpation identifies pitting edema.