A nurse is collecting data from a patient following a thoracentesis.
Which of the following findings should prompt the nurse to notify the provider?
500 mL of fluid removed during thoracentesis.
Chest x-ray clear.
PCO2.
Hematocrit.
The Correct Answer is A
Choice A rationale
If 500 mL of fluid is removed during thoracentesis, the nurse should notify the provider. Removing large volumes of fluid can cause re-expansion pulmonary edema.
Choice B rationale
A clear chest x-ray is an expected finding after thoracentesis.
Choice C rationale
PCO2 is a measure of carbon dioxide levels in the blood. It is not directly related to thoracentesis.
Choice D rationale
Hematocrit is a measure of the proportion of red blood cells in the blood. It is not directly related to thoracentesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Based on the provided information, here’s how the diagram should be completed:
- Condition the client is most likely experiencing:
- Asthma
- Actions the nurse should take to address that condition:
- Administer albuterol
- Monitor ABGs
- Parameters the nurse should monitor to assess the client’s progress:
- Oxygen saturation
- Breath sounds
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
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