ATI RN
ATI RN Pharmacology 2019 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has expanded?
Correct Answer: A
Rationale:
Correct Answer: A - No fluctuations in the water seal chamber
Rationale: When the lung has fully expanded, there should be no air leaking from the lung into the pleural space, leading to no fluctuations in the water seal chamber. This indicates that the chest tube is effectively removing air or fluid from the pleural space, allowing the lung to fully expand and preventing further collapse.
Summary of other choices:
B: No reports of pleuritic chest pain - This finding does not directly indicate lung expansion, as pain can be present even with an expanded lung.
C: Occasional bubbling in the water seal chamber - Bubbling indicates air leakage, which is not indicative of lung expansion.
D: Oxygen saturation of 95% - While oxygen saturation is important, it does not directly assess lung expansion status.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: