The nurse assists with a chest tube insertion into a client who has a pneumothorax. Which area(s) of the chest should the nurse prepare with the antiseptic skin preparation? (Select all that apply.)
1. Anterior thorax
2. Posterior thorax
3. Mediastinal area
4. Midaxillary line
5. 5th to 6th intercostal space
6. 2nd to 3rd intercostal space
1, 6
1, 4, 5, and 6. Because air rises, the nurse expects a chest tube for a pneumothorax in the 2nd or 3rd intercostal space on the anterior thorax. If the client's problem is a hemothorax, the nurse expects the chest tube closer to the midaxillary line in the 5th or 6th intercostal space.
2. Posterior chest tubes are very rare because they cause tremendous client discom-fort.
3. A mediastinal chest tube is associated with surgical procedures that open the peri-cardium for pericardial drainage.
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The nurse is caring for a patient who takes 6 tablets of methotrexate once every week on Fridays. How many mg of methotrexate does the patient take per dose?
Trexall Methotrexate tablets, USP 2.5 mg tablets only a. 10 mg b. 15 mg c. 20 mg d. 25 mg
When teaching a community education class about the seven warning signs of cancer, the nurse will note that the most common sign of bladder cancer is
A) inability to empty the bladder fully. B) colic spasms of the ureters. C) painless bloody urine. D) passage of large clots after voiding.
The nurse is evaluating the effectiveness of a client's intravenous injection of morphine sulfate, 15 mg, given for pain. How soon should the nurse expect the client to begin to get some relief?
1. 1-5 minutes 2. 10-15 minutes 3. 20-30 minutes 4. 1-2 hours
A nursing student is preparing to give a medication that has a boxed warning. The student asks the nurse what this means. What will the nurse explain about boxed warnings?
a. They indicate that a drug should not be given except in life-threatening circums-tances. b. They provide detailed information about the adverse effects of the drug. c. They alert prescribers to measures to mi-tigate potential harm from side effects. d. They provide information about antidotes in the event that toxicity occurs.