HESI RN Med Surg | Nurselytic

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HESI RN Med Surg Questions

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Question 1 of 5

Following a motor vehicle accident, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours following the chest tube insertion, the nurse observes the water level in the water-seal chamber is rising during inspiration and falling during expiration. Which action should the nurse implement?

Correct Answer: B

Rationale: Rising water levels during inspiration and falling during expiration, known as tidaling, indicate proper chest tube function, as it reflects pressure changes in the pleural space. Continuing to monitor the drainage system ensures ongoing assessment of drainage characteristics without disrupting the system unnecessarily.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

An infant who is developmentally delayed has a ventricular peritoneal (VP) shunt for hydrocephalus. The nurse makes a postoperative home visit to assess the child's progress. During the visit, the mother tells the nurse, 'When the shunt is removed, the pressure in my baby's head will be gone.' Which response should the nurse provide?
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?

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