A client has a chest drainage system in place. The fluid in the water seal chamber rises and falls during inspiration and expiration. The nurse interprets this finding as an indication of which?
A. The tube is patent
B. There is probably a kink in the tubing
C. Suction should be added to the system
D. The client is retaining airway secretions
Ans: A. The tube is patent
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A child has received a diagnosis of Addison's disease, and the nurse is providing health education to the child's family around hormone replacement therapy
When planning this child's care, the nurse should know that hormone replacement therapy constitutes a risk for what nursing diagnosis? A) Latex allergic response B) Deficient fluid volume C) Delayed growth and development D) Impaired gas exchange
The parent of an adolescent with schizophrenia asks the nurse, "My child's doctor ordered a PET. What kind of test is that?" Select the nurse's best reply
a. "This test uses a magnetic field and gamma waves to identify problem areas in the brain. Does your teenager have any metal implants?" b. "PET means positron-emission tomography. An injection is given and images are taken. It shows blood flow and activity in the brain." c. "A PET scan passes an electrical current through the brain and shows brain-wave activity. It can help diagnose seizures." d. "It's a special type of x-ray that shows structures of the brain and whether there has ever been a brain injury."
A nurse who provides care at a community clinic is in contact with a diverse group of patients. Which of the following individuals most clearly displays risk factors for stroke?
A) A man who is receiving oral antibiotics for the treatment of a chlamydial infection B) A woman who has osteoporosis, a history of fractures, and a family history of stroke C) An obese woman with a history of atrial fibrillation and type 2 diabetes D) A 70-year-old man who has benign prostatic hyperplasia and early stage Alzheimer's disease
A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago
The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following? A) Priapism B) Dyspareunia C) Sexual aversion disorder D) Vaginismus