A nurse is helping a client with a closed chest tube drainage system get out of bed and into a chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from the insertion site. What is the immediate nursing action?
A. Reinsert the chest tube
B. Contact the health care provider
C. Transfer the client back to bed
D. Cover the insertion site with a sterile occlusive dressing
Ans: D. Cover the insertion site with a sterile occlusive dressing
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The nurse is examining the hip area of a patient and palpates a flat depression on the upper, lateral side of the thigh when the patient is standing. The nurse interprets this finding as the:
a. Ischial tuberosity. b. Greater trochanter. c. Iliac crest. d. Gluteus maximus muscle.
A nurse explains that the minimal acceptable hourly urine output for a patient in shock who weighs 220 lb is _____
Fill in the blank(s) with correct word
While providing care, the nurse suspects that a preterm infant is developing respiratory distress. What did the nurse most likely assess in this patient? (Select all that apply.)
A) Grunting B) Nasal flaring C) Intercostal retractions D) Oxygen saturation 96% E) Increasing respiratory rate
What is the correct administration technique for sucralfate (Carafate)?
1. Administer it after meals. 2. Administer it prior to meals. 3. Administer the drug once daily. 4. Administer it with milk.