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A nurse in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?

Dry cough

Temperature 37.2° C (99° F)

Serosanguineous drainage

Dyspnea

Answer and Explanation

The Correct Answer is D

A. A dry cough is not typically a significant concern post-thyroidectomy.

B. A temperature of 37.2°C (99°F) is within normal range and not concerning.

C. Serosanguineous drainage is common postoperatively and not usually a concern.

D. Dyspnea is a critical finding that can indicate airway obstruction or other complications such as hematoma formation, which requires immediate intervention.

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Correct Answer is B

Explanation

A. Pain while swallowing (odynophagia) is not the most characteristic symptom of achalasia.

B. Clients with achalasia often feel like food is stuck at the base of their throat or in the esophagus due to the difficulty of the lower esophageal sphincter relaxing and allowing food to pass into the stomach.

C. Fullness in the neck is less specific to achalasia.

D. Burning sensations in the throat are more indicative of gastroesophageal reflux disease (GERD) rather than achalasia.

A. "Suction pressure that is too high causes this." B. "Your breathing pattern causes this." C. "This means your lung is fully re-expanded." D. "This indicates a possible air leak."

Correct Answer is B

Explanation

A. High suction pressure would not typically cause the fluid level in the water-seal chamber to rise and fall; rather, it could affect the rate of drainage.

B. The rise and fall of the fluid in the water-seal chamber, also known as "tidaling," is a normal phenomenon caused by changes in intrathoracic pressure during breathing. It indicates that the chest tube is functioning properly.

C. Rising and falling fluid levels do not necessarily indicate that the lung is fully re-expanded; they reflect the normal physiological movement of the chest.

D. An air leak would typically cause continuous bubbling in the water-seal chamber, not fluctuating levels.

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A nurse in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?

Correct Answer is B

Explanation

A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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