What should the nurse conclude who observes constant bubbling in the water-seal chamber of a closed chest drainage system?
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.
Ans: C
Feedback: Constant bubbling in the chamber indicates an air leak and requires immediate intervention. The patient with a pneumothorax will have intermittent bubbling in the water-seal chamber. Patients without a pneumothorax should have no evidence of bubbling in the chamber. If the tube is obstructed, the nurse should notice that the fluid has stopped fluctuating in the water-seal chamber.
You might also like to view...
A design firm is contracted to remodel a care facility. Which bathroom design component is most conducive to safety and quality of life for the older adult residents who will use them?
A) Throw rugs will be placed on the tile floors B) Bathrooms will include bathtubs rather than showers C) A small independent light to remain lit in the bathroom at all times D) A single, rotating faucet installed at the sink to control water flow and temperature
A 66-year-old female presents with fatigue, shortness of breath with exertion, cough, and swelling of the ankles. Current medications include lipid-lowering medication for hyperlipidemia and beta blocker for hypertension
On physical examination, vital signs are 98 degrees, 18 resps/min, pulse 56, and BP 100/60. Heart demonstrates S3 gallop and S4. Lungs reveal bilateral basilar crackles. Abdomen is distended with shifting dullness and hepatomegaly. Extremities show bilateral ankle edema. No neurological deficits. These signs and symptoms are characteristic of: A. Chronic renal failure B. Congestive heart failure C. Metabolic syndrome D. Liver failure
Which of the following statements about links between families and their community is inaccurate?
1. The negative influences of poverty and unrest continue for generations even after community conditions improve. 2. Understanding the culture of the community is essential for being able to address family health needs. 3. Families in low-resourced areas contend with malnutrition. 4. Political unrest has little effect on the health and well-being of families.
The nurse is assessing a client who describes "stomach discomfort." The most appropriate sequence for conducting the physical examination of the abdomen is
a. auscultation, percussion, palpation, inspection. b. inspection, auscultation, percussion, palpation. c. inspection, palpation, percussion, auscultation. d. palpation, percussion, auscultation, inspection.