A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?

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Oxygenation NCLEX Questions with Rationale Questions

Question 1 of 5

A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?

Correct Answer: B

Rationale: Continuous bubbling in the suction-control chamber is normal with active suction; monitoring is appropriate unless other issues arise.

Question 2 of 5

The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be appropriate for the nurse to include in the plan of care?

Correct Answer: D

Rationale: Gradual walking builds tolerance safely; stopping at dyspnea or exceeding a high pulse can exacerbate symptoms.

Question 3 of 5

Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?

Correct Answer: A

Rationale: Hemoptysis (bloody mucus) in bronchiectasis may indicate a serious complication like vessel erosion.

Question 4 of 5

Which patient requires immediate assessment by the nurse after a procedure?

Correct Answer: C

Rationale: Because the cough and gag are decreased after bronchoscopy, this patient should be assessed for airway patency. The other patients do not have clinical manifestations or procedures that require immediate assessment by the nurse.

Question 5 of 5

What finding in a patient with a nasal fracture suggests a complication?

Correct Answer: A

Rationale: Clear nasal drainage may indicate a meningeal tear with leakage of cerebrospinal fluid. This would place the patient at risk for complications such as meningitis. The other findings are typical with a nasal fracture and do not indicate any complications.

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