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ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions

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Question 1 of 5

A nurse is caring for a client who has a three-chamber chest tube system. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Ensure 2 cm (0.8 in) of water is in the water seal chamber. This is important to create a seal that prevents air from entering the pleural space. If the water level is too high or too low, it can affect the functioning of the chest tube system.

Choice B is incorrect as checking tubing patency every 2 hours is not necessary unless there are signs of blockage or decreased drainage.

Choice C is incorrect as the drainage system should be kept below the level of the client's chest to facilitate drainage by gravity.

Choice D is incorrect as the collection chamber should be emptied as needed based on the amount of drainage, not on a fixed time schedule.

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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