ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Continue to monitor the client's respiratory status. Slow, steady bubbling in the suction control chamber indicates that the system is functioning properly. This bubbling is expected as it shows that the system is maintaining the desired negative pressure. Monitoring the client's respiratory status is essential to ensure that there are no underlying respiratory complications post-thoracotomy.
Option B is incorrect because clamping the chest tube can lead to a tension pneumothorax. Option C is incorrect as checking the suction control outlet on the wall is not necessary in this situation. Option D is incorrect as checking tubing connections for leaks is not indicated when there is slow, steady bubbling. It's crucial to understand the rationale behind each option to make the best clinical decision.
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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