Nokea
The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any air leaks in the system. The next best action for the nurse is to:
- A. Check for subcutaneous emphysema in the upper torso.
- B. Reposition the client to a position of comfort.
- C. Call the health care provider as soon as possible.
- D. Check for any increase in the amount of thoracic drainage.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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In addition to ambulation, which nursing intervention could be implemented to prevent or treat the postoperative complication of syncope?
- A. Monitor vital signs after ambulation
- B. Do not allow the patient to eat before ambulation
- C. Slowly progress to ambulation with slow changes in position
- D. Have the patient deep breathe and cough before getting out of bed
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?
- A. The disease will incubate longer and progress more slowly in this infant.
- B. The infant is very susceptible to infections.
- C. Growth and development patterns will proceed at a normal rate.
- D. Careful monitoring of renal function is indicated.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Although acute pain is severe, why does a client with acute pain cope better with the discomfort in the later stages?
- A. Because the pain is negligible in the later stages.
- B. Because an increased dosage of analgesics is used in the later stages.
- C. Because the client’s perception of pain minimizes in the later stages.
- D. Because there is a reinforcing belief that the pain will resolve in time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What nursing action takes priority for Mr. Alexander intubated for pneumonia?
- A. Provide the patient with intermittent positive pressure
- B. Aspirate secretions from the airway, as needed
- C. Explain the need for frequent suctioning
- D. Order a room air humidifier
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client interested in smoking cessation is being taught by a nurse. Which statements should the nurse include in the teaching? (Select one that does not apply)
- A. Find an activity that you enjoy and will keep your hands busy.
- B. Keep snacks like potato chips on hand to nibble on.
- C. Drink at least eight glasses of water each day.
- D. Make a list of reasons for quitting smoking.
Correct Answer: C
Rationale: The correct answer is C: Drink at least eight glasses of water each day. This statement does not directly relate to smoking cessation. Staying hydrated is important for overall health, but it is not a specific strategy for quitting smoking. Choices A, B, and D are all relevant to smoking cessation. A: Finding an activity to keep hands busy can help distract from the urge to smoke. B: Keeping snacks on hand can help manage cravings and replace the oral fixation of smoking. D: Making a list of reasons for quitting can provide motivation and remind the client of their goals.