A nurse is caring for a patient with a chest tube who has notable crepitus at the chest tube site, extending across the chest about 3 inches. The best statement the nurse can make is:
1. "Don't worry. That happens with a lot of chest tubes. We'll simply mark this and keep an eye on it."
2. "That is a local swelling caused by the trauma of having the tube placed. It will go down a few days after the tube comes out."
3. "There are some new, small pockets of air under your skin that I'd like to have the doctor examine."
4. "You may be developing an infection. I'd like to check your temperature and change the chest tube dressing so that I can see the site."
ANS: 3
You might also like to view...
The last stage of growth and development is called:
a. Dying b. Old age c. Wisdom d. Maturity
Percussion is a useful examination technique to determine the size, shape, and position of organs as well as to
a. determine the density (air, fluid, or solid) of a structure. b. detect an abnormal deep mass (over 5 cm deep). c. listen to body organs to gather information on the patient's clinical status. d. determine the skin moisture and texture with your hands.
A nurse researcher has designed a study that requires the cooperation of staff nurses in a community health agency. One of the nurses is uncomfortable with the protocol and does not wish to participate in the study. How should this situation be handled?
a. The nurse can be required to participate in the study as a condition of employment. b. The nurse should have his questions clarified regarding the protocol. c. The nurse can refuse to participate in the study. d. The nurse should resign from the agency.
A 76-year-old is moderately obese but otherwise healthy. When asking whether weight loss is important at this point in life, the nurse respond based on the rationale that:
a. The "obesity paradox" research shows that weight is not a great mortality risk for this client b. Ideal weight is a goal that is appropriate for all age groups c. The client needs to discuss these issues with a registered nutritionist d. In order to maintain wellness, the client needs to lose weight in a controlled, healthy manner