The nurse monitoring a client with a chest tube notes that there is no tidaling of fluid in the water seal chamber. After further assessment, the nurse suspects that the client's lung has reexpanded and notifies the health care provider. The health care provider verifies with the use of a chest x-ray that the lung has reexpanded, then calls the nurse to asks that the chest tube be removed. Which action should the nurse take first?
A. Call the nursing supervisor
B. Explain the procedure to the client, then remove the chest tube
C. Inform the health care provider that removal of a chest tube is not a nursing procedure
D. Obtain petrolatum-impregnated gauze and ask another nurse to assist in removing the chest tube
Ans: C. Inform the health care provider that removal of a chest tube is not a nursing procedure
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When a client dies, which of the following is the highest priority for the nurse caring for the client? Select all that apply. Standard Text: Select all that apply
1. Wash the body of the deceased person as thoroughly as possible. 2. Remove all tubes that have been inserted into the body. 3. Comply with religious and cultural wishes of the family as far as possible. 4. Place the body supine and close the eyes. 5. Elevate the head of the deceased 30 degrees.
A patient is scheduled to receive a first dose of the thiazide diuretic chlorothiazide (Diuril). For cross-allergenicity with which of the following medications should the health care provider assess the patient?
a. Xanthines b. Penicillin c. Aspirin d. Sulfonamides
Thiabendazole is contraindicated in which patient?
a. A 32-year-old woman with psoriasis b. A 17-year-old male with a femoral fracture c. A child under the age of 12 years d. A 35-year-old woman with cirrhosis
A person with a damaged brain stem who is fully aware but almost totally unresponsive is exhibiting which disorder of consciousness?
a. a coma b. depersonalization c. locked-in syndrome d. a persistent vegetative state