A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take?

Empty the collection chamber on the client’s chest tube every 4 hr.

Strip the client’s chest tube every 2 hr.

Pin the chest tube to the client’s gown.

Tape the connections on the client’s chest tube.

Answer and Explanation

The Correct Answer is D

Choice A reason: Emptying the collection chamber every 4 hours is unnecessary and can increase the risk of introducing infection. The chamber should be emptied as needed based on the volume of drainage.

Choice B reason: Stripping the chest tube, which involves squeezing and releasing sections of the tube to move clots, is not recommended as it can create high negative pressure and cause damage to the lung tissue.

Choice C reason: Pinning the chest tube to the client’s gown can lead to accidental dislodgement. The chest tube should be secured appropriately without tension.

Choice D reason: The correct answer is d because taping the connections on the client’s chest tube ensures that the system remains airtight and prevents air leaks, which is essential for effective functioning of the chest tube and prevention of pneumothorax recurrence.

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Correct Answer is B

Explanation

Choice A reason: While bulimia can cause gastrointestinal issues, it is not directly linked to the development of peptic ulcers. Peptic ulcers are primarily associated with factors that affect the stomach lining and increase gastric acidity.

Choice B reason: The correct answer is b because the use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen is a well-known risk factor for peptic ulcers. NSAIDs can irritate the stomach lining and inhibit the production of protective mucus, leading to ulcer formation.

Choice C reason: Drinking green tea has not been shown to be a risk factor for peptic ulcers. In fact, some studies suggest that green tea may have protective effects on the stomach lining.

Choice D reason: Consuming spicy foods is often believed to cause peptic ulcers, but there is no scientific evidence to support this. Spicy foods may exacerbate symptoms in individuals with existing ulcers, but they do not cause the condition.

A. Brudzinski's sign B. Chvostek's sign C. Cullen's sign D. Kernig's sign

Correct Answer is B

Explanation

Choice A reason: Brudzinski's sign is an indicator of meningitis, where flexion of the neck causes involuntary flexion of the hips and knees. This sign is not related to hypocalcemia and is more specific to central nervous system infections.

Choice B reason: Chvostek's sign is a clinical sign of hypocalcemia. It is elicited by tapping on the facial nerve in front of the ear, which causes twitching of the facial muscles. This sign indicates neuromuscular irritability due to low calcium levels and is a key indicator for diagnosing hypocalcemia.

Choice C reason: Cullen's sign is a superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is associated with acute pancreatitis and intra-abdominal bleeding, not hypocalcemia. Therefore, it is not an appropriate sign to monitor for in clients with hypocalcemia.

Choice D reason: Kernig's sign is another indicator of meningitis. It involves pain and resistance to knee extension when the hip is flexed. Like Brudzinski's sign, it is specific to meningitis and is not related to hypocalcemia. Monitoring for this sign would not be relevant for a client with low calcium levels.

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A nurse is caring for a client who has a chest tube inserted for a pneumothorax. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is B

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Correct Answer is B

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