A nurse is caring for a client following the placement of a chest tube drainage system for a pneumothorax. Which of the following findings should the nurse expect?

Serous drainage noted in the collection chamber

Tidaling in the water seal chamber with respirations

Diminished breath sounds in the lung bases

Movement of the trachea toward the unaffected side

Answer and Explanation

The Correct Answer is B

A. Serous drainage noted in the collection chamber: The type of drainage typically seen with a pneumothorax is not serous; it is usually minimal or absent. If there is significant drainage, it could indicate bleeding or another issue that should be monitored.

B. Tidaling in the water seal chamber with respirations: Tidaling, or the movement of the water level in the water seal chamber with respirations, is a normal finding. It indicates that the chest tube is correctly placed, and the lung is expanding and contracting.

C. Diminished breath sounds in the lung bases: Diminished breath sounds are expected in the area where the pneumothorax occurred, but it does not specifically indicate the placement of the chest tube.

D. Movement of the trachea toward the unaffected side: Tracheal deviation toward the unaffected side is a sign of tension pneumothorax, which is a medical emergency. It should not be expected following the placement of a chest tube for a pneumothorax, as the goal of the chest tube is to resolve the pneumothorax and prevent complications.

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Correct Answer is C

Explanation

A. "I had symptoms of asthma when I was a child.": Childhood asthma is not a significant concern in end-stage liver disease or transplant eligibility. It does not have a direct impact on the client’s current health status or the potential success of the liver transplant.

B. "My parent has type 2 diabetes mellitus.": While family medical history is relevant, having a parent with type 2 diabetes mellitus is not a contraindication for liver transplantation. The client’s own health status and adherence to medical care are more important.

C. "I am not very good about taking prescribed medication.": Post-transplant care requires strict adherence to medications, especially immunosuppressive drugs, to prevent organ rejection. If the client has a history of nonadherence, this can jeopardize the success of the transplant.

D. "I wish my family was more supportive of my decision.": This statement pertains to psychosocial concerns and can be addressed with counseling or support services. It does not pose an immediate medical concern for the transplant process.

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL) B. Glucose 96 (74 to 106 mg/dL) C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L) D. Sodium 142 mEq/L (136 to 145 mEq/L)

Correct Answer is A

Explanation

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.

B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.

C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.

D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.

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A nurse is caring for a client following the placement of a chest tube drainage system for a pneumothorax. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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