Assessment Form A Exam Q&A 100%
Solved
A nurse is assisting a provider with the removal of a chest tube. Which of
the following actions should the nurse take?
a. Instruct the client to lie prone with arms by the sides
b. Complete a surgical checklist on the client
c. Remind the client that there is minimal discomfort during the removal
process
d. Place an occlusive dressing over the site once the tube is removed -
✔✔d. Place an occlusive dressing over the site once the tube is removed
Observe the site for drainage.
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,A nurse is caring for a client who is scheduled for a thoracentesis. Which of
the following supplies should the nurse ensure are in the clients room?
SATA
a. Oxygen equipment
b. Incentive spirometer
c. Pulse oximeter
d. Sterile dressing
e. Suture removal kit - ✔✔a, c, d
a. Oxygen equipment for SOB
b. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
Associated manifestation of Hypokalemia - ✔✔Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
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, c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek - ✔✔d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign.
A positive sign = Facial twitching on the side of the face
The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching - ✔✔a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
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