NCLEX-RN
NCLEX RN Prioritization Questions Questions
Extract:
Question 1 of 5
A patient who has a right-sided chest tube following a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: Continuous bubbling in the suction-control chamber of the chest tube collection device is an expected finding and indicates that the suction control chamber is connected to suction. It does not necessarily indicate a large air leak, which would be detected in the water-seal chamber. There is no evidence to suggest a pneumothorax based solely on continuous bubbling in the suction-control chamber. Adjusting the suction level by changing the wall regulator setting is not indicated in this situation, as the amount of suction applied is primarily regulated by the water level in the water-seal chamber and not by the vacuum source.
Therefore, the most appropriate action in this scenario is for the nurse to take no further action with the collection device.
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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