While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?
A) The system is functioning normally.
B) The patient has a pneumothorax.
C) The system has an air leak.
D) The chest tube is obstructed.
C
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The nurse is performing an assessment on a client and determines that the client could be at risk for mental illness when the client states:
1. "I am saving my money to own a top-of-the-line car." 2. "I am proud to say I am 35, own nothing, and am single." 3. "I enjoy being a Boy Scout leader." 4. "I am losing weight by eating healthier."
A nurse in a long-term care facility notes that an older resident with Alzheimer's disease awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident's sleep problems?
a. Taking the resident outside in the garden for 45 minutes daily b. Limiting fluid intake for the resident c. Educating the resident on the association between Alzheimer's Disease and insom-nia d. Administering a mild sedative hypnotic at bedtime
A 23-year-old athlete decides to donate bone marrow for a child who requires a bone marrow transplant to fight leukemia. According to Maslow's later work, this athlete is fulfilling his need for ____________________
Fill in the blank with correct word.
A patient who has scabies is treated with permethrin 5% cream. The patient calls the nurse 1 week after treatment to report continued intense itching. What will the nurse tell this patient?
a. "This is a hypersensitivity reaction to the permethrin." b. "This is the body's normal response to the scabies mites." c. "You will need a second treatment of the permethrin." d. "You will need to take ivermectin to clear up the infestation."