ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
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: D
Rationale: The correct answer is D: Ensure 2 cm (0.8 in) of water is in the water seal chamber. This is important to maintain the water seal, which prevents air from entering the pleural space. If the water level is too low, the system may not function properly. Emptying the collection chamber every 8 hr (choice
A) is incorrect because it depends on the amount of drainage, not a fixed time frame. Checking the patency of the tubing every 2 hr (choice
B) is unnecessary and may introduce unnecessary contamination. Keeping the drainage system above the level of the client's chest (choice
C) is incorrect as it may cause backflow of drainage.
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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