The nurse is caring for a client with a hemothorax who has a chest tube attached to a closed-chest drainage system. The nurse notes 50 mL of dark red drainage in the collection chamber over the past hour. Which of the following actions should the nurse take?
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The nurse is reviewing laboratory data for a client admitted…
The nurse is reviewing laboratory data for a client admitted to the emergency department with chest pain that developed 3 hours ago. Which serum value requires immediate action by the nurse?
The nurse is caring for a client who has an atrial pacemaker…
The nurse is caring for a client who has an atrial pacemaker. Which of the following findings would the nurse expect to observe on the client’s electrocardiogram strip?
A nurse cares for a client after cardiac catherization. Duri…
A nurse cares for a client after cardiac catherization. During assessment of the groin site, the nurse notices that the dressing is saturated with blood and a small trickle leaks down the client’s leg. What should the nurse do first?
Which statement is true regarding the importance of surgical…
Which statement is true regarding the importance of surgical scrub counts during a surgical procedure?
You are the nurse caring for a client in septic shock. You k…
You are the nurse caring for a client in septic shock. You know to closely monitor your client. What finding would you observe when the client’s condition is in its compensatory stage?
The nurse is educating a nursing student regarding arterial…
The nurse is educating a nursing student regarding arterial lines. The nursing student demonstrates understanding of arterial lines with which statement(s)? Select all that apply.
A nurse is making initial client rounds at the beginning of…
A nurse is making initial client rounds at the beginning of the shift. Which client should the nurse see first?
A client with chest pain is diagnosed with acute pericarditi…
A client with chest pain is diagnosed with acute pericarditis by the health care provider. The nurse explains that the pain will improve with which of the following?
A client in the intensive care unit begins complaining of sh…
A client in the intensive care unit begins complaining of shortness of breath. Upon further assessment, the client is noted to have decreased arterial blood pressure, jugular vein distension, and distant heart sounds. Which type of shock is suspected?