A nurse is caring for a patient with a chest tube connected to wall suction due to a right-sided pneumothorax. The patient reports a sensation of chest burning.
What should the nurse do next?

Clamp the patient’s chest tube.

Increase the patient’s wall suction.

Strip the patient’s chest tube.

Reposition the patient.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Clamping the patient’s chest tube is not the appropriate action. Clamping the tube can lead to tension pneumothorax, which is a life-threatening condition.

Choice B rationale

Increasing the patient’s wall suction is not the correct action. The sensation of chest burning is not related to the level of suction. Increasing the suction could potentially cause more harm.

Choice C rationale

Stripping the patient’s chest tube is not recommended. This action can cause negative pressure in the chest and can lead to injury of the lung tissue.

Choice D rationale

Repositioning the patient is the correct action. The sensation of chest burning could be due to the position of the chest tube. Repositioning the patient may alleviate the discomfort.

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Correct Answer is D

Explanation

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

A. Report any eyelid swelling after dosage. B. Repeat the dose in 1 hour if the headache persists. C. Take the medication daily to prevent headaches. D. Thoroughly chew the tablet before swallowing.

Correct Answer is B

Explanation

Choice A rationale

Eyelid swelling is not a common side effect of sumatriptan. If a patient experiences this side effect, they should report it to their healthcare provider.

Choice B rationale

If the headache persists after taking sumatriptan, the patient can repeat the dose in 1 hour. This is a standard instruction for the use of sumatriptan in the treatment of migraine headaches.

Choice C rationale

Sumatriptan is not typically taken daily to prevent headaches. It is used to treat migraines once they have started.

Choice D rationale

Sumatriptan tablets should be swallowed whole, not chewed. Chewing the tablet could result in too much of the drug being released at once.

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A nurse is caring for a patient with a chest tube connected to wall suction due to a right-sided pneumothorax. The patient reports a sensation of chest burning.What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is instructing a patient who has been newly prescribed sumatriptan tablets for the treatment of migraine headaches.Which instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is offering anticipatory guidance on child development to the parents of a toddler. Which developmental task should the nurse mention as being expected of a toddler?

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A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

A nurse is caring for a patient with a chest tube connected to wall suction due to a right-sided pneumothorax. The patient reports a sensation of chest burning.
What should the nurse do next?