An anticipated type of drainage from a chest tube for a client with a pleural effusion is:
A. Straw-colored drainage
B. Pus-colored drainage
C. Bright red drainage
D. Serous drainage
A
A. Pleural effusions usually drain straw-colored fluid.
B. Empyema is a collection of pus in the pleural cavity, and the drainage is pus colored.
C and D. Drainage from recent open chest surgery is initially bright red and gradually becomes serous as the postoperative course continues.
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A patient with a C5 spinal cord injury is tetraplegic. After being moved out of the intensive care unit, the patient complains of a severe throbbing headache. What should the nurse do first?
A) Check the patient's indwelling urinary catheter for kinks to ensure patency. B) Lower the head of the bed to improve perfusion. C) Call the physician immediately for a pain medication order. D) Reassure the patient that headaches are normal after spinal cord injuries.
The nurse is assessing a new client who is being evaluated for coronary heart disease. After reviewing his dietary habits, the nurse notes which of the following as a possible contributing factor to this client's condition?
A) Monounsaturated fatty acids C) Trans fatty acids B) Saturated fatty acids D) Polyunsaturated fatty acids
What principle should the nurse remember when trying to distinguish aging from diseases?
a. It is difficult to tell the difference because both processes are believed to result from cell injury. b. It is easy to tell normal processes from abnormal processes. c. Disease, unlike aging, has a genetic com-ponent. d. Aging is defined as exceeding life expec-tancy, but not maximal life span.
The physician has ordered a somatosensory evoked responses (SERs) test for a patient for whom the nurse is caring. The nurse is justified in suspecting that this patient may have a history of what type of neurologic disorder?
A) Hypothalamic disorder B) Demyelinating disease C) Brainstem deficit D) Diabetic neuropathy