A nurse is collecting data from a client who has a new chest tube that is attached to closed chest water-seal drainage and suction. The nurse should report which of the following findings to the charge nurse?

Continuous bubbling in the water-seal chamber

Patient respiratory status is stable and denies pain to chest tube site!

Tidalling, fluctuations in the fluid level in the water-seal chamber

Occasional bubbling in the water-seal chamber

Answer and Explanation

The Correct Answer is A

A. Continuous bubbling in the water-seal chamber: Continuous bubbling in the water-seal chamber indicates a possible air leak in the system, which needs to be assessed and potentially reported to the charge nurse for further evaluation.

B. Patient respiratory status is stable and denies pain to chest tube site: This is a normal finding and does not require reporting.

C. Tidalling, fluctuations in the fluid level in the water-seal chamber: This is a normal finding, indicating that the chest tube is functioning properly and that the lungs are expanding.

D. Occasional bubbling in the water-seal chamber: This may be acceptable, especially with respiratory movements, as it could indicate that the patient is exhaling, but continuous bubbling is concerning.

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Correct Answer is C

Explanation

A. Oral montelukast: Montelukast is a leukotriene receptor antagonist used for long-term asthma control, not for acute attacks.

B. Cromolyn via nebulizer: Cromolyn is a mast cell stabilizer used for long-term control, not for treating acute asthma exacerbations.

C. Albuterol via jet nebulizer: Albuterol is a short-acting beta-agonist used to quickly relieve bronchoconstriction during an acute asthma attack. It is the first-line treatment in emergencies to help open the airways and improve breathing.

D. Budesonide via jet nebulizer: Budesonide is a corticosteroid used to reduce inflammation over time. It is not used for immediate relief in an asthma attack.

A. "It delivers the highest concentration of oxygen possible." B. "It delivers a specific concentration of oxygen constantly." C. "It delivers the low concentration of oxygen you need." D. "It allows you to remove it for a while when it gets uncomfortable."

Correct Answer is C

Explanation

A. "It delivers the highest concentration of oxygen possible." This is inaccurate; other methods (like non-rebreather masks) deliver higher concentrations.

B. "It delivers a specific concentration of oxygen constantly." While it does provide a specific concentration, it is not as constant as other devices because it can vary based on the client's breathing patterns.

C. "It delivers the low concentration of oxygen you need." A nasal cannula typically delivers a low concentration of oxygen (approximately 24-44% oxygen depending on the flow rate), which is appropriate for clients who need supplemental oxygen but do not require a high concentration.

D. "It allows you to remove it for a while when it gets uncomfortable." This is misleading; while the client can remove it temporarily, it is essential to maintain oxygen therapy as prescribed for adequate oxygenation.

View Question and Answer

A nurse in an emergency department is assisting with admitting a client.

Exhibits

A nurse is caring for a client who has pneumonia. Select the 4 findings in the client's medical record that places them at risk for pneumonia.

View Question and Answer

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A nurse is collecting data from a client who has a new chest tube that is attached to closed chest water-seal drainage and suction. The nurse should report which of the following findings to the charge nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has a new chest tube that is attached to closed chest water-seal drainage and suction. The nurse should report which of the following findings to the charge nurse?

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A nurse in an emergency department is assisting with admitting a client. Exhibits A nurse is caring for a client who has pneumonia. Select the 4 findings in the client's medical record that places them at risk for pneumonia.

The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?

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A nurse is assisting with the care of a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?