A client's chest tube is accidentally dislodged. What action by the nurse is best?
a. No action is necessary because the area will reseal itself.
b. Cover the insertion site with a sterile gauze and tape three sides.
c. Obtain a suture kit and prepare for the physician to suture the site.
d. Cover the area with an occlusive dressing.
B
Immediately covering the insertion site helps prevent air from entering the pleural space and causing a pneumothorax. The area will not reseal quickly enough to prevent air from entering the chest. The nurse should not leave the client to obtain a suture kit. An occlusive dressing may cause a tension pneumothorax.
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A nurse's neighbor says, "There's a goopy fluid draining from my right ear. What do you think I should do?" Select the nurse's best response
a. "It sounds like you might have otitis media. Warm compresses applied to the external ear will help your problem." b. "If you are not experiencing pain in your ear, you can expect the symptoms to stop without any treatment in about 3 days." c. "Irrigate your right ear with a solution of half hydrogen peroxide and half warm water for relief from this problem." d. "The fluid could be caused by several different ear problems. You should see your health care provider as soon as possible."
You are preparing a report for your med/surg class on the four main inflammatory disorders of the female reproductive system. You are to compare and contrast these disorders
a. What are the organisms involved? b. What is the treatment used? c. What are the signs and symptoms? d. What methods may help in the prevention of reoccurrence?
A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin. The nurse should recognize that the woman is at increased risk for:
A. Erythroblastosis fetalis. B. Diabetes mellitus. C. Abruptio placentae. D. Pregnancy-induced hypertension.
The child with Duchenne muscular dystrophy must push on his or her legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as the __________ maneuver
Fill in the blank(s) with correct word