•Coughing and deep breathing should be encouraged to facilitate drainage and prevent pneumonia.
•The chest tube should not be clamped unless ordered by the physician.
•Chest tube milking should only be done to remove clots.
•Fluctuations in the water seal chamber is normal and should not be communicated to the physician.
A 21-year-old female is admitted to the hospital with intense right lower quadrant pain. Serum labs are drawn and reviewed by the nurse. Which of the following should be reported to the physician?
The nurse is caring for a 57-year-old patient diagnosed with ovarian cancer. The nurse knows that the patient would need supportive care since this type of cancer can lead to other health problems. The nurse uses exercises, massages, and compression bandages for which particular problem that the patient may experience?
The nurse is auscultating the heart of a patient with congestive heart failure. The nurse hears an extra sound with a very low pitch, immediately after the second heart sound (S2). The nurse interprets this as:
A patient had a colon resection surgery 2 days ago. The patient states that he has not had a bowel movement yet, but is passing gas. What should the nurse do?
A 75-year-old is seen in the clinic for urinary incontinence. The nurse explains to the patient that urinary incontinence can be caused by:
The nurse visits a 80-year-old patient who was discharged after receiving chemotherapy for the treatment of colon cancer. Upon assessment, the nurse found that the patient developed stomatitis. Which of the following should the nurse remind the patient to avoid?
A nurse is instructing a patient recently diagnosed with a hiatal hernia. Which of the following statements made by the patient indicates an understanding of this disease?
A patient is admitted to the hospital for a pulmonary embolism. The nurse assesses the patient knowing that which of the following is commonly reported?
A home health nurse is caring for a 60-year-old male with a hemoglobin of 10.5 g/dl and a hematocrit of 30%. Which of the following actions would be most appropriate?
A patient with a severe allergy to dust mites is receiving instructions from the nurse. The nurse should include which of the following to help with his allergic reactions to dust mites?
A nurse is discharging a patient with multiple sclerosis. The nurse should instruct the patient on which of the following?
The nurse is instructing a patient with gastroesophageal reflux disease (GERD) on potential complications if the disease is left untreated. The nurse includes which of the following?
The nurse is preparing to administer IV insulin, dextrose, and sodium bicarbonate to a patient with acute renal failure. What is the nurse treating?
A patient scheduled for surgery has questions regarding the care of his colostomy. Which of the following members of the health care team should be consulted?