Nokea
What is your evaluation of the nursing action regarding continuous bubbling in the water-seal chamber?
- A. Incorrect, chest tubes should never be clamped because of the risk of tension pneumothorax
- B. Correct, clamping the chest tubes demonstrated that the system was intact; the leak was in the patient
- C. Partially correct, since clamping the chest tubes corrected the pattern, the nurse should have left them clamped until the physician checked the patient
- D. Partially correct, the nurse should have increased the external suction while waiting for the physician to come
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
A client with a pleural effusion is being assessed by a nurse. Which clinical manifestation does the nurse expect to find?
- A. Decreased breath sounds on the affected side
- B. Hyperresonance on percussion of the affected side
- C. Increased tactile fremitus on the affected side
- D. Tracheal deviation toward the affected side
Correct Answer: A
Rationale: The correct answer is A: Decreased breath sounds on the affected side. In a pleural effusion, fluid accumulates in the pleural space, leading to decreased air entry and diminished breath sounds on auscultation. This occurs because the fluid dampens the transmission of sound through the lungs.
B: Hyperresonance on percussion of the affected side is not expected in pleural effusion, as it is typically associated with conditions like pneumothorax.
C: Increased tactile fremitus on the affected side is not a typical finding in pleural effusion. Tactile fremitus may be decreased due to the presence of fluid.
D: Tracheal deviation toward the affected side is more commonly seen in conditions like tension pneumothorax, not pleural effusion.
When teaching a patient to care for himself before discharge, what should the nurse initially do?
- A. Develop a 1-hour teaching session
- B. Give the patient a booklet to read
- C. Prioritize teaching needs
- D. Select specific teaching techniques
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Tim presents with an acute episode of gout. You expect the physician to prescribe
- A. Nonsteroidal anti-inflammatory medications and colchicine.
- B. Allopurinol and aspirin.
- C. Antibiotics and acetaminophen.
- D. Bisphosphonates and calcium.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which societal view of illness and disease identifies a cause-and-effect philosophy of human body functions?
- A. Biomedical or scientific perspective
- B. Naturalistic perspective
- C. Magico-religious perspective
- D. Holistic perspective
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In planning Mr. Jones’ discharge teaching, what is important to emphasize?
- A. He should not leave his home without wearing a mask
- B. Medications must be taken as ordered
- C. All visitors to his home should wear masks
- D. He is cured of tuberculosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.