A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes constant bubbling in the water seal chamber. What actions should the nurse take?
A. Clamp the chest tube
B. Chang the drainage system
C. Assess the system for an external air leak
D. Reduce the degree of suction being applied
E. Document assessment findings, actions taken, and client response
Ans: C. Assess the system for an external air leak
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A 21-year-old male who has been an IV heroin user has been experiencing fever, weight loss, and diarrhea and has been diagnosed as having AIDS. At this time, he has a low-grade fever, severe diarrhea, and a productive cough
He is admitted with Pneumocystis jiroveci. What should the nurse do when caring for the patient? a. Use a gown, mask, and gloves when assisting the patient with his bath b. Wear a gown when assisting the patient to use the bedpan c. Use a gown, mask, and gloves to administer oral medications d. Use a mask when taking the patient's temperature
A research study is conducted using newborn screening samples analyzed and stored over two years at a state health department. Study results are inconsistent and erratic. What are the likely reasons for this variability?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Differences in the way samples were originally collected 2. Degradation of the samples over time 3. Contamination from the original analysis 4. Inexperience using newborn screening samples 5. High numbers of conditions screened in these samples
The nurse is performing a family assessment. What type of family should the nurse identify when both parents work?
1. An extended family 2. An extended kin family 3. A traditional nuclear family 4. A dual-career/dual-earner family
The nurse is working the night shift on a surgical unit and is making 4:00 AM rounds. The nurse notices that the patient's temperature is 96.8° F (36° C), whereas at 4:00 PM the preceding day, it was 98.6° F (37° C). What should the nurse do?
a. Call the health care provider immediately to report a possible infection. b. Administer medication to lower the temperature further. c. Provide another blanket to conserve body temperature. d. Realize that this is a normal temperature variation.