During assessment of a client, the chest tube becomes dislodged. The nurse should first:
A. Call the physician
B. Check for a mediastinal shift
C. Attempt to gently reinsert the tube
D. Apply pressure over the insertion site
D
D. If chest tube becomes dislodged, immediately apply pressure over chest tube insertion site.
A. Have assistant apply gauze dressing and tape three sides. Notify physician.
B. If there is no chest drainage, observe for mediastinal shift or respiratory distress (medical emergency).
C. If chest tube becomes dislodged, immediately apply pressure over chest tube insertion site. Have assistant apply gauze dressing and tape three sides.
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A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS) unit and how it works. What is the most appropriate information for the nurse to relay?
a. "The stimulation of the skin seeks to lo-calize the acute pain and will last for sev-eral minutes after the unit is applied." b. "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain." c. "The mechanism for use of this unit is well known and can be read." d. "During those days when using the TENS unit, no analgesic can be given."
An 80-year-old woman has just undergone cataract surgery at an outpatient surgical center and is being prepared for discharge home. When providing relevant health education, the nurse should teach the patient to:
A) Expect significant pain for the next 24 to 48 hours B) Irrigate her eye with normal saline solution every 4 to 6 hours C) Remain on bed rest for the next 2 to 3 days, if possible D) Avoid bending over for an extended period until the eye has healed
Which methods would help alleviate the problems associated with access to health care for the maternity patient? Choose all that apply
a. Provide transportation to prenatal visits. b. Provide child care so that a pregnant woman may keep prenatal visits. c. Mandate that physicians make house calls. d. Provide low-cost or no-cost health care insurance. e. Provide job training.
A client is prescribed gentamicin (Garamycin) concurrently with acyclovir (Zovirax). Which assessment would be the priority for the nurse?
1. Balance 2. Kidney function lab tests 3. Hearing 4. Visual acuity