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- Question The nurse notes that the fluid in the water-seal column is fluctuating with each breath that the client takes. What is the significance of this fluctuation? A. An obstruction is present in the chest tube. B. The client is developing subcutaneous emphysema. C. The chest tube system is functioning properly. D. There is a leak in the chest tube system.MATCHING TYPE: A. INTRAOSSESOUS INJECTION B. INTRA ARTERIAL INJECTION C. INTRAMUSCULAR INJECTION D. INTRADERMAL INJECTION E. INTRAVENOUS INJECTION CHOICES: 1. CORIUM 2. VEIN 3. MUSCLE TISSUE 4. ARTERY29) During a routine clinic visit, the nurse determines that a 5- year-old girls systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next? A. Take the blood pressure two more times during the visit and determine the average of the three readings. B. Conduct a head-to-toe assessment and omit repeated blood pressure during the examination. C. Refer child to the healthcare provider and schedule evaluation of blood pressure in two weeks. D. Measure the child's blood pressure three times during the visit and determine the highest of the readings. words 201 Acchool age child procent with now oncat tuna 1 dinhotos English (United States) Accessibility: Investigate MacBook Pro
- A client is prescribed and receiving hydromorphone. Upon assessment the client's respiratory rate is 11 breaths per minutes. What is the most appropriate next action by the nurse? A. Administer the hydromorphone as scheduled B. Apply oxygen before hydromorphone administration C. Hold the hydromorphone and contact the prescriber D. Discontinue the hydromorphoneA client admitted with shortness of breath and palpitations currently take a antiarrhythmic dronedarone, which action should the nurse take to prevent? A. Measure orthostatic blood pressure B. Obtain a 12 lead ECG reading daily C. Assess the client’s apical pulse daily D. Provide continuous ECG monitoringWhich assessments and interventions should the nurseconsider when performing tracheal suctioning? Selectall that apply.a. Closely assess the patient before, during, and after theprocedure.b. Hyperoxygenate the patient before and aftersuctioning.c. Limit the application of suction to 20 to 30 seconds. d. Monitor the patient’s pulse frequently to detectpotential effects of hypoxia and stimulation of thevagus nerve.e. Use an appropriate suction pressure (80–150 mm Hg).f. Insert the suction catheter no further than 1 cm past thelength of the tracheal or endotracheal tube.
- An hourly output of 300 mL through the chest tube was observed in a client after a lung resection. What should be the priority of the nurse to do? A. Immediately intimate the physician. B. Squeeze to ensure the tube is unobstructed. C. Slow down intravenous infusion to 50 cc/hr. D. Turn the client to his left side.c) The image below is a standard chest X-ray. Explain the difference in appearance of the image at A and B. (AC 1.2) Sin ( Dx A BThe nurse is administering a medication to a patient via anasogastric tube. Which are accurate guidelines related to thisprocedure? Select all that apply.a. Crush the enteric-coated pill for mixing in a liquid.b. Flush open the tube with 60 mL of very warm water.c. Check for proper placement of the nasogastric tube.d. Give each medication separately and flush with waterbetween each drug.e. Lower the head of the bed to prevent reflux.f. Adjust the amount of water used if patient’s fluid intake isrestricted.
- Which among the following is an appropriate nursing care after Foley's catheter insertion? a. if the patient feels discomfort, instruct the him to take deep breaths and reassure him that this is a normal sign b. instruct the patient to pull off the Foley's catheter if he feels pain.. c. attach the drainage bag above the level of the bladder. d. attach the drainage bag below the level of bladder.A nurse providing care of a patient’s chest drainage systemobserves that the chest tube has become separated from thedrainage device. What would be the first action that shouldbe taken by the nurse in this situation?a. Notify the physician.b. Apply an occlusive dressing on the site.c. Assess the patient for signs of respiratory distress.d. Put on gloves and insert the chest tube in a bottle of sterilesaline.