a nurse is caring for a client who has a chest tube which of the following findings should the nurse report to the provider a nurse is caring for a client who has a chest tube which of the following findings should the nurse report to the provider
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Nursing Elites

ATI RN

ATI Comprehensive Exit Exam 2023 With NGN

1. A nurse is caring for a client who has a chest tube. Which of the following findings should the nurse report to the provider?

Correct answer: C

Rationale: Continuous bubbling in the water seal chamber should be reported to the provider as it can indicate an air leak. This finding suggests that air is escaping from the pleural space, which can lead to lung collapse or pneumothorax. Drainage of 75 mL in the past 24 hours is within the expected range for a client with a chest tube and is not a cause for concern. Intermittent bubbling in the water seal chamber is a normal finding that indicates the system is functioning properly. Tidaling in the water seal chamber is also an expected finding that shows the fluctuation of fluid with the client's breathing and is not alarming.

2. A client discharges AMA (against medical advice). This is an example of the _________ type of risk category?

Correct answer: C

Rationale: When a client discharges AMA, it falls under the medical-legal incident risk category. This choice focuses on the legal aspect of the situation, as it involves the patient's right to make decisions about their care, informed consent, and the associated legal implications. Choices A and B are incorrect as they unnecessarily specify individual healthcare roles and do not encompass the broader legal implications of discharging against medical advice. Choice D, patient-focused, is also incorrect as it doesn't capture the legal and risk-related aspects of the scenario.

3. The nurse has documented the following wound assessment. “Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?” what stage is the wound?

Correct answer: Stage 2

Rationale:

4. Which best describes the concept of risk?

Correct answer: A

Rationale: The concept of risk is best described as the probability that an individual will develop a specific condition due to exposure to certain factors. It is not about the impact of a health condition on one's life (choice B), the potential harm from a specific condition (choice C), or the likelihood of being exposed to a health hazard (choice D). Understanding risk helps in assessing the chances of developing a particular health issue.

5. The mentally ill person responds positively to the nurse who is warm and caring. This is a demonstration of the nurse’s role as:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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