Which assessment indicates to the nurse that the chest tube in a water seal drainage device is working correctly?
a. Constant bubbling in the suction control chamber
b. Decrease of accumulation in the drainage chamber
c. Fluctuation of the column of water in the water seal
d. Constant bubbling in the water seal chamber
C
The fluctuation of the level in the water seal indicates patency of the tubes with the reinflating lung. Constant bubbling in the wet suction control is normal. Constant bubbling in the water seal indicates an air leak. Decreasing drainage is normal.
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While interviewing a client, the nurse observes that the client is changing position frequently, wringing hands, and laughing at inappropriate times. Which would be appropriate for the nurse to include in the assessment based on this information?
1. Anxiety assessment. 2. Mental status testing. 3. Attention deficit testing. 4. Nutrition assessment.
The pediatric nurse caring for a patient with juvenile arthritis administers the following medications recommended for this disease
Select all answers that apply. A) Leflunomide (Arava) B) Infliximub (Remicade) C) Acetaminophen (Tylenol) D) Methotrexate (Rheumatrex)
A nurse manager must also consider a number of internal variables that will affect staffing patterns. An internal variable to be considered is:
a. Organizational staffing policies. b. State licensing standards. c. American Nurses Association. d. Consumer expectations.
The nurse is concerned about the client's loss of fluids and electrolytes because of diarrhea. The best dietary recommendation that the nurse can give is for the client's diet to include which foods or drinks?
a. Tea and dry toast b. Plain crackers and orange juice c. Gatorade or Pedialyte d. Ensure liquid supplement