A nurse notes the mediastinal tubes of a client who is 6 hours postoperative from CABG surgery have stopped draining. What action would be most appropriate for the nurse to take at this time?
A. Replace the tubing.
B. Notify the physician.
C. Form a dependent loop in the tubing.
D. Document the finding as the only action.
B
The sudden cessation of mediastinal drainage could result in cardiac tamponade from the accu-mulation of blood around the heart.
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A nurse assesses a client who is recovering from a total thyroidectomy and notes the development of stridor. Which action should the nurse take first?
a. Reassure the client that the voice change is temporary. b. Document the finding and assess the client hourly. c. Place the client in high-Fowler's position and apply oxygen. d. Contact the provider and prepare for intubation.
What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN to meet the needs of patients?
a. Focused nursing b. Team nursing c. Case management d. Primary nursing
A school nurse cautions a group of parents about children playing barefoot on dirt. To what infectious agents can this action expose the children?
a. Helminthes b. Protozoa c. Rickettsiae d. Mycoplasmas
A nurse is having dinner at a restaurant when a man sitting at the next table collapses and falls to the floor. The nurse yells for help and quickly assesses the client, noting that the client is not breathing and does not have a pulse. The nurse initiates cardiopulmonary resuscitation (CPR) immediately, and the restaurant manager rushes to the scene with an automatic external defibrillator (AED). What should the nurse do next?
A. Use the AED B. Stop the resuscitation efforts C. Perform CPR until emergency medical services arrives D. Check for a pulse for 30 seconds before continuing CPR