Practice Question
The nurse would check for leaks in the chest tube and water seal system when:
Answer Choices:
Correct Answer:
There is continuous bubbling in the water-seal chamber.
Rationale:
🔸Continuous bubbling in the water-seal chamber indicates an air leak in the chest tube system.
🔸The water-seal chamber is designed to act as a one-way valve, allowing air to exit the pleural space without letting air in.
🔸Intermittent bubbling may be expected during exhalation or coughing, but constant bubbling suggests a leak.
🔸 The nurse should investigate the tubing, connections, and drainage system to identify the source of the air leak.
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This question is from RN Medsurg nurs 300 Exam 4 which contains 54 questions.
More Questions from This Exam
The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?
Answer Choices:
A. Serum potassium of 52 mEq/L (normal 3_5 mEq/L-5_3 mEq/L_)
B. T wave depression on electrocardiogram
C. Heart rate of 90 beats per minute
D. Blood pressure of 90/50
A nurse is providing teaching to a client newly diagnosed with Parkinson's disease who is prescribed carbidopa/levodopa. What should be included in client teaching?
Answer Choices:
A. This is a safe medication that is associated with minimal side effects
B. Stop the medication if there is increased urination
C. Change position slowly to prevent orthostatic hypotension
D. Double the dose if a dose is missed at the next scheduled time
The nurse administers IV nitroglycerin to a client diagnosed with an acute myocardial infarction. In evaluating the effectiveness of this intervention, the nurse should monitor for:
Answer Choices:
A. Decrease in heart rate.
B. Relief of chest pain
C. Decrease in cardiac dysrhythmias.
D. Decrease in blood pressure.
The nurse monitors the client in the immediate hours following an anterior-lateral wall myocardial infarction for the development of:
Answer Choices:
A. A systolic murmur
B. Ventricular dysrhythmias
C. A pericardial friction rub
D. Renal insufficiency
The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.32, PaCO₂ 33 mmHg, PaO₂ 88 mmHg, and HCO₃ 16 mEq/L. The nurse would interpret these results as:
Answer Choices:
A. Fully compensated respiratory acidosis
B. Partially compensated respiratory acidosis.
C. Uncompensated metabolic acidosis.
D. Partially compensated metabolic acidosis.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4