NSG 456 Exam 1 With Correct Answers (graded a+)

NSG 456 Exam 1 With Correct Answers (graded a+) What is hypoxemia? A. Low oxygen in the lungs B. Decreased CO2 output C. Low oxygen in the blood D. Decreased respiratory rate - ANSWER C. Low oxygen in the blood What is hypoxia? A. insufficient oxygen at the tissue level B. Low oxygen in the blood C. Decreased respiratory drive D. Low oxygen intake through the lungs - ANSWER A. insufficient oxygen at the tissue level A patient is recovering from a pneumothorax and has a chest tub e present. Which of the following is an appropriate finding when assessing the chest tube drainage system? A. Intermittent bubbling may be noted in the water seal chamber. B. 200 cc of drainage per hour is expected during recovery of a pneumothorax. C. The chest tube is positioned at the patient's chest level to facilitate drainage. D. All of these options are appropriate findings. - ANSWER A. Intermittent bubbling may be noted in the water seal chamber. You're assessing a patient who is post-opt from a chest tube insertion. On assessment, you note there is 50 cc of serosanguinous fluid in the drainage chamber, fluctuation of water in the water seal chamber when the patient breathes in and out, and bubbling in the suction control chamber. Which of the following is the most appropriate nursing intervention? A. Document your findings as normal. B. Assess for an air leak due to bubbling noted in the suction chamber. C. Notify the physician about the drainage. D. Milk the tubing to ensure patency of the tubes. - ANSWER A. Document your findings as normal. The patient in room 2569 calls on the call light to tell you something is wrong with his chest tube. When you arrive to the room you note that the drainage system has fallen on its side and is leaking drainage onto the floor from a crack in the system. What is your next PRIORITY? A. Place the patient in supine position and clamp the tubing. B. Notify the physician immediately. C. Disconnect the drainage system and get a new one. D. Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system. - ANSWER D. Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system. You are providing care to a patient with a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the CORRECT nursing intervention for this type of finding? A. Reposition the patient because the tubing is kinked. B. Continue to monitor the drainage system. C. Increase the suction to the drainage system until the bubbling