Practice Question
Following a motor vehicle accident, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours following the chest tube insertion, the nurse observes the water level in the water-seal chamber is rising during inspiration and falling during expiration. Which action should the nurse implement?
Answer Choices:
Correct Answer:
Continue to monitor the drainage system.
Rationale:
🔹 In a chest tube system, tidaling—a rise in the water-seal chamber during inspiration and fall during expiration—is a normal finding, indicating that the system is patent and the chest tube is functioning properly.
🔹 No interventions are needed unless there is absence of tidaling, continuous bubbling, or other signs of obstruction or disconnection.
🔹 Continuous monitoring is appropriate in this stable situation.
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This question is from RN-Hesi Medical Surgical Exam IV which contains 48 questions.
More Questions from This Exam
A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?
Answer Choices:
A. An acutely distended bladder.
B. Profuse forehead diaphoresis.
C. Skeletal traction misalignment.
D. A severe pounding headache.
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Answer Choices:
A. Sputum culture positive for Mycobacterium tuberculosis.
B. Hemoccult test on sputum collected from hemoptysis.
C. Chest x-ray or computed tomography (CT).
D. Positive purified protein derivative (PPD) skin test.
Lactulose was prescribed two days ago for a client who was recently diagnosed with hepatic encephalopathy. The client is confused and experiencing frequent loose stools. Laboratory findings show an elevated serum ammonia (NH) level of 220 µg/dL (157.1 µmol/dL). Which action should the nurse take?Reference Range:Ammonia [10 to 80 µg/dL (6 to 47 µmol/L)]
Answer Choices:
A. Hold the next dose of lactulose.
B. Continue the prescribed dose of lactulose.
C. Replace total volume voided with oral or IV fluids.
D. port the number of diarrhea stools to the healthcare provider (HCP).
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
Answer Choices:
A. Severe abdominal cramps and diarrhea after eating spicy foods.
B. Frequent use of chewable and liquid antacids for indigestion.
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D. Marked loss of weight and appetite over the last 3 or 4 months.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4
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