Practice Question
The nurse identifies continuous bubbling in the water seal chamber. What should the nurse do first?
Answer Choices:
Correct Answer:
Check the chest tube insertion site on the client
Rationale:
🟢 Continuous bubbling indicates an air leak in the system.
🟢 The first action is to inspect the insertion site for disconnection or dislodgment.
🟢 Do not clamp the tube—this can cause tension pneumothorax.
🟢 Provider is notified after initial troubleshooting.
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This question is from NR 341 Quiz which contains 10 questions.
More Questions from This Exam
Place the follows statements in order for SBAR. Correct Ordering
Answer Choices:
A. The client is reporting shortness of breath.
B. The client has a history of COPD and was admitted yesterday.
C. Lungs have crackles bilaterally, cap refill is less than 2 seconds, client is AAOx4.
D. Recommendation of chest x-ray.
A bowling ball landed on their face. Which airway adjunct would be most appropriate?
Answer Choices:
A. Nasopharyngeal airway
B. Endotracheal Tube
C. Bilevel positive airway pressure
D. Nasal canula
The nurse is reviewing the chart to ensure the VAP bundle has been ordered for a client who is intubated. Identify the orders included in the VAP bundle.
Answer Choices:
A. Elevate head of bed 30-45 degrees
B. Oral care with chlorhexidine
C. Ambulate every 2 hours
D. Daily SAT and SBT
E. DVT and stress ulcer prophylaxis
Identify when the nurse should call a Rapid Response for a client?
Answer Choices:
A. Blood glucose level 35
B. Blood pressure 81/51
C. Stable vital signs
D. New onset tachycardia 165 BPM
E. Client is pulseless
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4