rn vati.docx

90. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal chamber. Which of the following actions should the nurse take? a. turn down the wall suction b. observe the system for an air leak c. obtain a prescription to discontinue the chest tube d. empty the drainage from the collection chamber 91. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care? a. assist the client to a supine position b. recommend prophylactic acyclovir c. initiate droplet precautions for the client d. perform a Glasgow coma scale every 24 hr 92. a nurse is caring for a child who has infectious mononucleosis. Which of the following findings are associated with this diagnosis? a. koplik spots b. splenomegaly c. malaise d. sore throat e. vertigo 93. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. Which of the following is an appropriate nursing action? a. administer chlorpromazine with a loop diuretic b. check orthostatic blood pressure 1 hr after administration c. administer once daily 30 min before breakfast d. check weekly calcium levels