The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?

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Question 1 of 5

The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Documenting drainage volume is within UAP scope; it's a routine task not requiring clinical judgment.

Question 2 of 5

A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media. Which assessment findings should the nurse report to the health care provider before the patient goes for the CT (select all that apply)?

Correct Answer: A

Rationale: Shellfish allergy may indicate iodine sensitivity (contrast risk), and elevated creatinine suggests renal impairment, both contraindications for contrast.

Question 3 of 5

Which arterial blood gas result should be reported to the health care provider?

Correct Answer: D

Rationale: These ABGs indicate uncompensated respiratory acidosis and should be reported to the health care provider. The other values are normal, close to normal, or compensated.

Question 4 of 5

What is the first action for a patient with a foreign object in the nare?

Correct Answer: D

Rationale: Because the highest priority action is to remove the foreign object from the nare, the nurse's first action should be to assist the patient to remove the object. The other actions are also appropriate but should be done after attempting to clear the nose.

Question 5 of 5

What is the priority concern for a patient coughing up large amounts of blood after chest tube placement?

Correct Answer: B

Rationale: The large amount of blood may indicate that the patient is in danger of developing hypovolemic shock. An air leak would be expected immediately after chest tube placement for a pneumothorax.

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