Practice Question
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Answer Choices:
Correct Answer:
Fluctuation of the fluid level within the water seal chamber
Rationale:
🔵 Tidaling (fluid fluctuation) with respiration confirms a patent chest tube and effective drainage.
🔵 The water seal acts as a one-way valve, allowing air or fluid to exit but not re-enter.
🔵 Lack of fluctuation may signal obstruction or full lung re-expansion.
🔵 Continuous bubbling is not normal; intermittent bubbling or tidaling is expected.
🔵 Monitoring the water seal chamber helps prevent tension pneumothorax or tube complications.
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This question is from Custom Adult Health 2EX1 which contains 61 questions.
More Questions from This Exam
A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first
Answer Choices:
A. Nucleic acid amplification test (NAAT)
B. CT scan
C. Sputum culture for acid-fast bacillus (AFB)
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Answer Choices:
A. Assess pulse and respirations.
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D. Instruct to slowly exhale with pursed lips.
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Answer Choices:
A. "Drink at least 8 ounces of water when you take the pyrazinamide tablet."
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C. "Provide a sputum specimen every 2 weeks to the clinic for testing."
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A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Answer Choices:
A. Provide the client with a low-protein diet.
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C. Instruct the client to use pursed-lip breathing
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A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Answer Choices:
A. Remove the dressing to inspect the wound.
B. Administer oxygen via nasal cannula.
C. Raise the foot of the bed to a 90° angle.
D. Prepare to insert a central line. Q6
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 4
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