The nurse determines that 850 mL of serosanguineous drainage is in the chest drainage system of a client who is 12 hours postoperative for the removal of a lung tumor. Which location on the chest collection unit indicates this finding? (Click the chosen location. To change, click on the new location).
The Correct Answer is "{\"xRanges\":[72.06554878048782,74.50457317073172],\"yRanges\":[73.32317073170732,75.45731707317073]}"
To find the 850 mL mark on this specific chest drainage unit:
Identify the Collection Chambers: The collection part of the unit is on the right side of the device, featuring multiple columns with numerical values.
Read from Right to Left: Drainage fills the far-right column first (the smallest increments), then overflows into the middle column, and finally into the far-left column of the collection section.
The Middle Column: Look at the middle column of the collection section. You will see values ranging from 800 to 1600.
Pinpoint the Value: The 850 mL level is located in the middle column, exactly halfway between the 800 and 900 marks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prostate infections, such as prostatitis, can cause inflammation and irritation of the prostate gland, which can lead to elevated PSA levels. This is an important factor to explain to the client because PSA elevation is not specific to cancer alone; other benign conditions can also increase PSA. Understanding this helps reduce unnecessary anxiety and informs appropriate follow-up testing.
B. Prostatectomy involves surgical removal of the prostate gland. After a complete prostatectomy, PSA levels typically decrease to undetectable levels rather than increase. Therefore, this procedure would not cause elevated PSA.
C. Tobacco use is associated with various cancers and cardiovascular disease but does not directly elevate PSA levels. While smoking has systemic effects, it is not a recognized cause of increased PSA.
D. Alcohol consumption affects liver function and overall health but is not linked to elevated PSA levels. There is no direct correlation between alcohol intake and PSA elevations in prostate screening.
Correct Answer is A
Explanation
A. Ventricular arrhythmias warrant immediate intervention because they indicate a life-threatening cardiac complication. Clients with a history of bilateral adrenalectomy are at risk for adrenal crisis, which can cause electrolyte imbalances such as hyperkalemia. Hyperkalemia can precipitate ventricular arrhythmias, making this a critical, time-sensitive finding requiring urgent treatment.
B. Profound weight gain may indicate fluid retention, which is important to monitor but is not immediately life-threatening. It requires assessment and intervention over time but does not take priority over a potentially fatal arrhythmia.
C. Decreased urinary output is a sign of compromised renal perfusion or fluid imbalance. While concerning, it is not as immediately life-threatening as ventricular arrhythmias and typically follows assessment and stabilization of cardiovascular status.
D. Low blood glucose levels (hypoglycemia) are important to identify and treat promptly in clients without adrenal function, but the immediate threat to life from ventricular arrhythmias takes precedence. Hypoglycemia should be treated after ensuring cardiac stability.
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