The nurse is caring for a client with a chest tube. Which supplies should the nurse ensure are readily available at the client's bedside for emergencies?
Rolled gauze and sterile saline
Petrolatum-impregnated sterile occlusive dressing
Suction tubing and Yankauer suction tip
Non-adhesive dressing and tracheostomy tube
The Correct Answer is B
Choice A reason: Rolled gauze and sterile saline are used for general wound care but are inadequate for chest tube emergencies. If a tube dislodges, an occlusive dressing prevents air entry into the pleural space, avoiding pneumothorax, making this choice insufficient for emergency preparedness in chest tube management.
Choice B reason: A petrolatum-impregnated sterile occlusive dressing is critical for chest tube emergencies. If the tube dislodges, it seals the pleural space, preventing air entry and reducing pneumothorax risk. This ensures immediate response to maintain lung function, making it the priority supply for emergency preparedness.
Choice C reason: Suction tubing and Yankauer suction tip clear oral or airway secretions, not chest tube issues. They are irrelevant for emergencies like tube dislodgement, where sealing the pleural space prevents pneumothorax, making this choice inappropriate for chest tube emergency preparedness in this scenario.
Choice D reason: Non-adhesive dressings and tracheostomy tubes are for tracheostomy care, not chest tubes. They do not address emergencies like tube dislodgement, which require an occlusive dressing to prevent air entry, rendering this choice incorrect for chest tube emergency preparedness in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A sodium level of 121 mEq/L indicates severe hyponatremia, risking seizures due to cerebral edema from low osmolality. Seizure precautions (e.g., padded rails, anticonvulsants) protect from injury during potential seizures, making this the priority to ensure safety before correcting sodium levels.
Choice B reason: Educating on high-sodium foods is a long-term strategy for hyponatremia but not the priority. Severe hyponatremia (121 mEq/L) risks seizures, requiring immediate protective measures like seizure precautions over dietary education, which addresses chronic management rather than acute neurological risks.
Choice C reason: Administering 3% sodium chloride corrects hyponatremia but is not the first priority. Rapid correction risks osmotic demyelination, and seizure precautions are needed to protect against cerebral edema-induced seizures, a more immediate risk in severe hyponatremia, before initiating sodium therapy.
Choice D reason: A 1-liter-per-day fluid restriction addresses fluid overload in hyponatremia but is secondary to seizure precautions. Severe hyponatremia (121 mEq/L) risks neurological complications like seizures, making immediate safety measures the priority over fluid restriction, which is a slower corrective strategy.
Correct Answer is ["0.7"]
Explanation
Step 1 is (144 lbs ÷ 2.2) Result = 65.45 kg (rounded to 65.5 kg for dosing precision)
Step 2 is (0.01 mg × 65.5 kg) Result = 0.655 mg
Step 3 is rounding 0.655 to the nearest tenths place Result = 0.7 mg
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