Nursing Elites

1. What is the primary nursing action for a patient experiencing continuous bubbling in the chest tube water seal chamber?

• A. Tighten the connections of the chest tube system
• B. Clamp the chest tube
• C. Continue monitoring the chest tube
• D. Replace the chest tube system

Correct answer: A

Rationale: The correct answer is to tighten the connections of the chest tube system. Continuous bubbling in the chest tube water seal chamber indicates an air leak. By tightening the connections of the chest tube system, the nurse can often resolve the issue by ensuring there are no loose connections allowing air to enter. Clamping the chest tube or replacing the chest tube system are not appropriate actions in this situation. Clamping the tube can cause a dangerous buildup of pressure, while replacing the system should only be considered if tightening the connections does not resolve the air leak.

2. A patient is admitted with an air leak in a chest tube system. What action should the nurse take?

• A. Tighten the connections of the chest tube system
• B. Continue monitoring the patient
• C. Replace the chest tube system
• D. Clamp the chest tube

Correct answer: A

Rationale: When caring for a patient with an air leak in the chest tube system, the nurse should tighten the connections of the chest tube system. This action can help resolve the air leak by ensuring there are no loose connections or leaks in the system. Continuing to monitor the patient (Choice B) is important, but addressing the air leak is a priority. Replacing the chest tube system (Choice C) may not be necessary if tightening the connections resolves the issue. Clamping the chest tube (Choice D) is not appropriate as it can lead to tension pneumothorax.

3. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?

• A. I can expect swelling in my hands and on my face.
• B. The amount of protein in my blood is high.
• C. I might have some pain and gas in my stomach from this condition.
• D. I will use a soft bristle toothbrush to prevent bleeding gums.

Correct answer: A

Rationale: The correct answer is A. Nephrotic syndrome leads to edema, especially of the face and dependent areas, due to the loss of protein in the urine. Choice B is incorrect because nephrotic syndrome leads to protein loss in the urine, not an increase in blood protein levels. Choice C is incorrect as stomach pain and gas are not typical symptoms of nephrotic syndrome. Choice D is incorrect as using a soft bristle toothbrush is not directly related to the manifestations of nephrotic syndrome.

4. A client has a right-sided pneumothorax, and a chest tube is inserted. Which finding indicates that the chest drainage system is functioning correctly?

• A. Gentle bubbling in the suction chamber
• B. Crepitus around the insertion site
• C. Constant bubbling in the water seal chamber
• D. Absence of breath sounds on the right side

Correct answer: A

Rationale: In a chest drainage system, gentle bubbling in the suction chamber indicates proper functioning, showing that the system is connected and working effectively to remove air or fluid from the pleural space. Crepitus around the insertion site (Choice B) suggests subcutaneous emphysema, not chest tube functionality. Constant bubbling in the water seal chamber (Choice C) indicates an air leak. Absence of breath sounds on the right side (Choice D) is indicative of the pneumothorax, not the chest tube function.

5. A patient who experienced an acute episode of gastritis should avoid which type of foods?

• A. Avoid foods high in potassium
• B. Avoid foods high in sodium
• C. Increase exercise to reduce stress
• D. Drink milk as a snack

Correct answer: A

Rationale: The correct answer is A: Avoid foods high in potassium. Potassium-rich foods can exacerbate gastritis symptoms by irritating the stomach lining. Sodium (choice B) is not directly related to gastritis symptoms. Increasing exercise (choice C) can be beneficial for overall health but may not directly impact gastritis. Drinking milk (choice D) can provide temporary relief for some individuals with gastritis due to its coating effect, but it is not a universal recommendation as it can worsen symptoms in some cases.

Similar Questions