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. "It's okay for my child to have plenty of ice cream.": Cold, soft foods like ice cream are typically allowed, but dairy products like ice cream may increase mucus production, which could irritate the throat.

B. “I’ll help my child gargle with salt water a few times a day.": Gargling is contraindicated after a tonsillectomy as it can irritate the surgical site and potentially cause bleeding.

C. "I'll call the doctor if my child is swallowing continuously." Continuous swallowing can be a sign of bleeding after a tonsillectomy, which is a medical emergency. It is important for parents to recognize this as an early sign of hemorrhage.

D. "It's okay for my child to ride his bike in a few days.": Strenuous activities, including riding a bike, should be avoided for at least 1-2 weeks to reduce the risk of bleeding.

A. Decreasing respiratory rate B. Facial flushing C. Dry cough D. Increasing dyspnea

Correct Answer is D

Explanation

A. Decreasing respiratory rate: This is not expected; respiratory rate may increase as the body attempts to compensate for reduced oxygenation.

B. Facial flushing: This is not a common symptom of atelectasis and may indicate other issues such as anxiety or fever.

C. Dry cough: While a cough may be present, it is more likely to be productive due to retained secretions.

D. Increasing dyspnea: Atelectasis often leads to decreased lung volume, which can cause increasing dyspnea as the lung tissue collapses.

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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 reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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