Two hours after surgery the nurse assesses a patient who had a chest tube inserted during surgery. There is 200 mL of dark-red drainage in the chest tube at this time. What is the appropriate action for the nurse to perform?
A) Record the amount and continue to monitor drainage
B) Notify the health care provider
C) Strip the chest tube starting at the chest
D) Increase the suction by 10 mm Hg
Ans: A) Record the amount and continue to monitor drainage
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Once a child is intubated, which of the following is used to verify proper placement of the endotracheal tube?
A) Rise and fall of the chest B) Chest x-ray C) Tidal volume D) Absence of sternal retractions and/or grunting
A nurse manager is educating a group of staff nurses on recognizing the differences between confusion and delirium. Which statements will the nurse manager include? Select all that apply
A) "Delirium is seen only in older adults." B) "Delirium is a reversible condition while dementia is not." C) "Older adult men are at higher risk for developing delirium." D) "Younger adult females are at higher risk for developing delirium." E) "Adolescents are more prone to developing delirium than young children."
Which of these statements made by a patient who has Disturbed body image is the best indicator of the patient's patient early acceptance of body image?
a. "I just won't go to the pool this summer." b. "I'm worried about what those other girls will think of me." c. "I can't wear that color. It makes my hips stick out." d. "I'll wear the blue dress. It matches my eyes."
A client sustains a brain injury. The client is being treated with desmopressin acetate. What would indicate a positive outcome from the medication?
a. Reduction in urine output b. Increase in urine output c. Decrease in reabsorption of water in the renal tubules d. Elevation of the client's heart rate