The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?

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Question 1 of 9

The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. Which acid-base imbalance does the nurse anticipate the client developing?

Correct Answer: B

Rationale: Hyperventilation from anxiety or fear causes an excessive loss of CO2, leading to respiratory alkalosis. This shift in pH results from the rapid, shallow breathing that reduces the level of carbon dioxide in the blood. Respiratory acidosis would occur in cases of poor ventilation or CO2 retention, while metabolic acidosis/alkalosis relates to disturbances in bicarbonate, not breathing patterns.

Question 6 of 9

A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

A client is admitted to the emergency department after a motor vehicle accident. The client has a Glasgow Coma Scale (GCS) score of 10. What does this score indicate?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection of which lunch indicates the client has learned about sodium restriction?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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