ATI Capstone Week 9 Exam | Nurselytic

Questions 41

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ATI Capstone Week 9 Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

Correct Answer: B

Rationale:
Correct
Answer: B - Movement of the trachea toward the unaffected side indicates a tension pneumothorax, a life-threatening complication that requires immediate intervention to prevent further respiratory distress and potential cardiovascular collapse. The trachea deviates due to the pressure buildup in the thoracic cavity pushing the mediastinum and trachea away from the affected lung. This finding warrants urgent notification of the provider for prompt intervention.

Incorrect

Choices:
A: Bubbling of the water in the water seal chamber with exhalation is an expected finding in a chest tube drainage system, indicating proper functioning.
C: Scant serosanguinous drainage on the dressing is normal post-chest tube insertion and does not require immediate provider notification.
D: Crepitus in the area above and surrounding the insertion site may indicate subcutaneous emphysema, which is a common benign finding post-chest tube insertion and does not warrant urgent provider notification.

Question 2 of 5

Correct Answer:

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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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