Try Naxlex NCLEX-RN (Free-Trial)

A nurse is assisting with the plan of care for a client who has a chest tube connected to a closed chest drainage system. Which of the following interventions should the nurse include in the plan of care?

Empty the collection chamber every 12 hr.

Keep the collection device below the level of the client's chest.

Avoid positioning the client on the affected side

Strip the chest tube every 4 hr.

Answer and Explanation

The Correct Answer is B

A. Empty the collection chamber every 12 hr:

The collection chamber should not be emptied; it is changed when full to maintain system integrity and accuracy.

B. Keep the collection device below the level of the client's chest:

This ensures gravity drainage and prevents backflow of fluid into the pleural space.

C. Avoid positioning the client on the affected side:

Positioning on the affected side is not contraindicated and may even promote lung expansion and comfort.

D. Strip the chest tube every 4 hr:

Stripping the chest tube is not routinely recommended as it may cause excessive negative pressure and damage lung tissue.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Anticonvulsants

These are used as adjuvants for neuropathic pain, not for nausea.

B. Antidepressants

These are used for chronic pain and mood management, not acute postoperative nausea.

C. Glucocorticoids

While glucocorticoids can help with inflammation and sometimes nausea, they are not first-line antiemetics.

D. Antiemetics

Antiemetics (e.g., ondansetron, promethazine) are prescribed to treat nausea and vomiting, especially as a side effect of opioid use or anesthesia.

A. Decreased heart rate B. Elevated blood pressure C. Reduced respiratory rate D. Constricted pupils

Correct Answer is B

Explanation

A. Decreased heart rate:

Pain typically causes an increased heart rate, not a decrease.

B. Elevated blood pressure:

Pain stimulates the sympathetic nervous system, resulting in increased blood pressure.

C. Reduced respiratory rate:

Pain usually causes an increase in respiratory rate due to stress and anxiety.

D. Constricted pupils:

Pain causes pupil dilation (mydriasis) as part of the fight-or-flight response.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with the plan of care for a client who has a chest tube connected to a closed chest drainage system. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has surgical pain but is now complaining of nausea and vomiting. The nurse should expect the provider to order which of the following types of adjuvant medications?

Correct Answer is D

Explanation

A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?

Correct Answer is B

Explanation

A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?

A nurse is collecting data on a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing which of the following statements should the nurse make?

Who is the Wong-Baker Faces Pain Assessment useful for?

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting?