NCLEX-PN
Nclex Questions Management of Care Questions
Extract:
Question 1 of 5
A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
Correct Answer: D
Rationale: Gentle bubbling is a normal finding for a client with a pleural drainage system to suction, so it simply needs to be documented for monitoring purposes. If the bubbling becomes vigorous, it could indicate a leak, which would then require further investigation by the nurse.
Therefore, the correct action at this point is to document the finding. Notifying the physician is not necessary for gentle bubbling as it is expected. Clamping the chest tube or replacing the system is inappropriate and could potentially harm the client as there is no indication for such actions based on the scenario provided.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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