Medical Surgery Respiratory
(random) Questions and Correct
Answers with Rationale | Latest
Update
A nurse is caring for a client who has a chest tube following a lobectomy.
Which of the following items should the nurse keep easily accessible for the
client?
A. Extra drainage system
B. Suture removal kit
C. Container of sterile water
D. Nonadherent pads
✓ ~:- C. Container of sterile water
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✓ Rationale: The nurse should have a container of sterile water in a
location that is easily accessible for this client. The nurse should plan to
place the open end of the tubing into the sterile water if the tubing
becomes disconnected in order to prevent a pneumothorax.
A nurse in the emergency department is caring for a client who is
experiencing acute respiratory failure. Which of the following laboratory
findings should the nurse expect?
A. Arterial pH 7.50
B. PaCO2 25 mmHg
C. SaO2 92%
D. PaO2 58 mm Hg
✓ ~:- D. PaO2 58 mm Hg
✓ Rationale: The nurse should expect the client who has acute respiratory
failure to have lower partial pressures of oxygen.
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A nurse is assessing a client who has a chest tube in place following thoracic
surgery. For which of the following findings should the nurse notify the
provider?
A. Fluctuation of drainage in the tubing with inspiration
B. Continuous bubbling in the water seal chamber
C. Drainage of 75 mL in the first hour after surgery
D. Several small, dark-red blood clots in the tubing
✓ ~:- B. Continuous bubbling in the water seal chamber
✓ Rationale: Continuous bubbling in the water seal chamber suggests an
air leak and requires notification of the provider. The nurse should
check the system for external, correctable leaks while she is waiting for
instructions from the provider.
A nurse is caring for a client who is in respiratory distress and requires
endotracheal suctioning. Which of the following actions should the nurse
take?
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