The nurse is caring for a client who has a chest tube. Upon assessment, the nurse notes that there is continuous bubbling of water in the suction container of the chest tube but very little if any bubbling in the water seal chamber. Which is the nurse's best action at this time?
A. Contact respiratory therapy for immediate assistance.
B. Reposition the client to the affected side.
C. Auscultate the client's lungs, paying close attention to the area near the chest tube.
D. Wait 15 minutes and reassess the client.
Answer: C
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The nursing student studying rheumatoid arthritis (RA) learns which facts about the disease? (Select all that apply.)
a. It affects single joints only. b. Antibodies lead to inflammation. c. It consists of an autoimmune process. d. Morning stiffness is rare. e. Permanent damage is inevitable.
As part of a clinical conference with a group of nursing students, the instructor is describing the burn classification
The instructor determines that the teaching has been successful when the group identifies which of the following as characteristic of full thickness burns? A) Skin that is reddened, dry, and slightly swollen B) Skin appearing wet with significant pain C) Skin with blistering and swelling D) Skin that is leathery and dry with some numbness
The nurse is caring for a patient diagnosed with a lung infection. Which immunoglobulin level should the nurse expect to be elevated in this patient?
1. immunoglobulin A 2. immunoglobulin M 3. immunoglobulin E 4. immunoglobulin D
Which of the following questions is best to ask when assessing the client's judgment?
A) "Can you describe your usual daily activities for me?" B) "If you found yourself downtown without money or a car, how would you get home?" C) "On a scale of 1 to 10, how stressed would you rate yourself?" D) "What problem would you like to work on while you're hospitalized?"