HESI Extra Credit Module 9 Exam Test Questions with Answers (Study Guide Latest 2023 Graded A+)

HESI Extra Credit Module 9 Exam Test Questions with Answers (Study Guide Latest 2023 Graded A+) A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes constant bubbling in the water seal chamber. What actions should the nurse take? (Select all that apply). A. Clamp the chest tube B. Chang the drainage system C. Assess the system for an external air leak Correct prioritizing. Use the ABCs (airway, breathing, and circulation) to find the correct option. Review the nursing actions to be taken immediately in the event of pulmonary embolism Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Critical Care: Emergency Situation/Management Giddens Concepts: Perfusion, Clotting HESI Concepts: Oxygenation/Gas Exchange, Perfusion-Clotting Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., p. 552). St. Louis: Mosby. Rationale: Constant bubbling in the water seal chamber of a closed chest tube drainage system may indicate the presence of an air leak. The nurse would assess the chest tube system for the presence of an external air leak if constant bubbling were noted in this chamber. If an external air leak is not present and the air leak is a new occurrence, the health care provider is notified immediately, because an air leak may be present in the pleural space. Leakage and trapping of air in the pleural space can result in a tension pneumothorax. Clamping the chest tube is incorrect. Additionally, a chest tube is not clamped unless this has been specifically prescribed in the agency’s policies and procedures. Changing the drainage system will not alleviate the problem. Reducing the degree of suction being applied will not affect the bubbling in the water seal chamber and could be harmful. The nurse would document the assessment findings and interventions taken in the client’s medical record. Test-Taking Strategy: Focus on the data in the question, noting that there is bubbling in the water seal chamber. Use knowledge regarding the priority actions in the care of a closed chest tube drainage system. Recalling that this may indicate an air leak will direct you to the correct options. Review the D. Reduce the degree of suction being applied E. Document assessment findings, actions taken, and client response Correct HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ Awarded 2.0 points out of 2.0 possible points. 5. 5.ID: 9 A nurse is helping a client with a closed chest tube drainage system get out of bed and into a chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from the insertion site. What is the immediate nursing action? A. Reinsert the chest tube B. Contact the health care provider C. Transfer the client back to bed nursing actions to be taken immediately in the event that complications of a closed chest tube drainage system occur Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Critical Care: Emergency Situation/Management Giddens Concepts: Care Coordination, Gas Exchange HESI Concepts: Nursing Interventions, Oxygenation/Gas Exchange Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., p. 546). St. Louis: Mosby. HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ D. Cover the insertion site with a sterile occlusive dressing Correct Rationale: If a chest tube is dislodged from the insertion site, the nurse immediately covers the site with sterile occlusive dressing. The nurse then performs a respiratory assessment, helps the client back into bed, and contacts the health care provider. The nurse does not reinsert the chest tube. The health care provider will reinsert the chest tube as necessary. Test-Taking Strategy: Note the strategic word “immediate.” Eliminate the option that involves reinsertion of the chest tube first, because a nurse is not trained to insert a chest tube. To select from the remaining options, focus on the subject, dislodgment of a chest tube from its insertion site, and recall the complications associated with this occurrence; this will direct you to the correct option. Review the nursing actions to be taken immediately in the event of complications associated with a closed chest tube drainage system Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Critical Care: Emergency Situation/Management Giddens Concepts: Care Coordination, Gas Exchange HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ Rationale: The return of bloody secretions is an unexpected outcome of suctioning. If it occurs, the nurse should first assess the client and then determine the degree of suction being applied. The degree of suction pressure may need to be decreased. The nurse must also remember to apply intermittent suction and perform catheter rotation during suctioning. Continuing the suctioning or performing vigorous suctioning through the mouth will result in increased trauma and therefore increased bleeding. Suctioning is normally performed on clients who are unable to expectorate secretions. It is therefore unlikely that the client will be able to cough out the bloody secretions. Test-Taking Strategy: Note the strategic word, first. Eliminate the options of continuing the suctioning to remove the blood and removing the suction catheter from the nose to begin vigorous suctioning through the mouth, because they are comparable or alike. Next eliminate the option that involves encouraging the client to cough out the bloody secretions, because it is unlikely that the client will be able to do so. Review the nursing actions to be taken Awarded 1.0 points out of 1.0 possible points. 6. 6.ID: 7 A nurse performing nasopharyngeal suctioning and suddenly notes the presence of bloody secretions. Which action should the nurse take first? A. Continue suctioning to remove the blood B. Check the degree of suction being applied Correct C. Encourage the client to cough out the bloody secretions D. Remove the suction catheter from the client’s nose and begin vigorous suctioning through the mouth HESI Concepts: Nursing Interventions, Oxygenation/Gas Exchange Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., p. 546). St. Louis: Mosby. HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ Awarded 1.0 points out of 1.0 possible points. 7. 7.ID: 9 HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client’s trachea but is unable to do so. Which action should the nurse take first? A. Call a code B. Contact the health care provider C. Administer a bronchodilator D. Disconnect the suction source from the catheter Correct HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ Awarded 1.0 points out of 1.0 possible points. 8. 8.ID: 9 A nurse assesses the closed chest tube drainage system of a client who underwent lobectomy 24 hours ago. The Rationale: Inability to remove a suction catheter is a critical situation. This finding, along with the client’s symptoms presented in the question, indicates the presence of bronchospasm and bronchoconstriction. The nurse immediately disconnects the suction source from the catheter but leave the catheter in the trachea. The nurse then connects the oxygen source to the catheter. The health care provider is notified and will most likely prescribe an inhaled bronchodilator. The nurse also prepares for emergency resuscitation if the bronchospasm is not relieved. Test-Taking Strategy: Note the strategic word “first.” Eliminate the option of administering a bronchodilator, because this action requires a health care provider’s prescription. To select from the remaining options, visualize the situation presented in the question. Noting that the nurse is unable to remove the suction catheter from the client’s trachea will direct you to the correct option. Review the nursing actions to be taken immediately in the event of a complication during suctioning Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Adult Health/Respiratory Giddens Concepts: Clinical Judgment, Gas Exchange HESI Concepts: Clinical Decision-Making/Clinical Judgment, Oxygenation/Gas Exchange Reference: Ignatavicius, D., & Workman, M. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th ed., pp. 574-575). St. Louis: Saunders. HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ nurse notes that there has been no chest tube drainage for the past hour. Which action should the nurse take first? A. Contact the health care provider B. Check for kinks in the drainage system Correct C. Check the client’s blood pressure and heart rate HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ HESI Extra Credit Module 9 Exam 100 QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 GRADED A+ D. Connect a new drainage system to the client’s chest tube Awarded 1.0 points out of 1.0 possible points. 9. 9.ID: 6 A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client’s urine output for the