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Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 1 of 5

What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?

Correct Answer: D

Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.

Extract:


Question 2 of 5

The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?

Correct Answer: C

Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.

Question 3 of 5

Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguinous drainage on the dressing. The most appropriate intervention is to:

Correct Answer: C

Rationale: Serosanguinous drainage is normal post-cholecystectomy; reinforcing the dressing is appropriate to manage it. Changing the dressing risks infection, and a binder may obscure assessment. Basic Care and Comfort

Question 4 of 5

A client diagnosed with an ulcer has been placed on tetracycline due to a positive helicobacter pyloric test result. Which food choice, when taken with the drug, could decrease its effectiveness?

Correct Answer: B

Rationale: Milk and dairy products can reduce the effectiveness of the drug when taken at the same time. Answers A, C, and D would not affect the drug, so they're incorrect.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 5 of 5

In the context of Mr. H's chest tubes, part of his routine assessment include:

Correct Answer: B

Rationale: Palpating for crepitus detects subcutaneous emphysema, a potential complication.

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