The physician is about to remove a chest tube from a client. After the dressing is removed and the sutures have been cut, the nurse assisting the physician asks the client to:
1. Breathe in and out quickly.
2. Exhale immediately.
3. Take a deep breath.
4. Perform the Valsalva maneuver.
4
Rationale: When the chest tube is removed, the client is asked to perform the Valsalva maneuver (take a deep breath, exhale, and bear down). The tube is then quickly withdrawn, and an airtight dressing is taped in place. The pleura seals itself off, and the wound heals in less than 1 week.
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The nurse is teaching a patient about the loss of potassium when taking diuretics. The physician started this patient on spironolactone (Aldactone). Which is a special characteristic of this diuretic?
a. It blocks active transport of sodium and potassium excretion. b. It is used when there is high renal filtration. c. It affects the exchange of sodium and potassium excretion. d. It gives a peak effect in diuretic use.
A pregnant woman who has undergone genetic testing informs the nurse that her fetus has Down syndrome. The nurse understands that Down syndrome is an example of:
A) Multifactorial inheritance B) X-linked recessive inheritance C) Trisomy numeric abnormality D) Chromosomal deletion
A nurse researcher should be concerned about establishing clear eligibility criteria for inclusion in a study sample because such criteria will do what?
a. Increase the homogeneity of the sample b. Decrease the homogeneity of the sample c. Increase the size of the sample d. Decrease the size of the sample
The nurse is providing follow up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
A) Tachycardia B) Profuse perspiration C) Unexplained gastrointestinal disturbance D) Tremors