what intervention should be done if continuous bubbling is seen in the chest tube water seal chamber

ATI RN

ATI Capstone Medical Surgical Assessment 2 Quizlet

1. What intervention should be done if continuous bubbling is seen in the chest tube water seal chamber?

A. Tighten the connections of the chest tube system
B. Replace the chest tube system
C. Clamp the chest tube
D. Continue monitoring the chest tube

Correct answer: A

Rationale: When continuous bubbling is observed in the chest tube water seal chamber, the appropriate intervention is to tighten the connections of the chest tube system. This step helps address an air leak in the system, which could compromise its effectiveness. Choice B (Replace the chest tube system) is not the initial step and may be unnecessary if the issue can be resolved by tightening connections. Choice C (Clamp the chest tube) is incorrect as clamping the chest tube could lead to a dangerous increase in pressure within the system. Choice D (Continue monitoring the chest tube) is also not the best immediate action to take when continuous bubbling is present, as prompt intervention is needed to prevent complications.

2. A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately?

A. Distended, board-like abdomen
B. WBC count of 15,000/mm3
C. Rebound tenderness over McBurney's point
D. Temperature of 37.3°C (99.1°F)

Correct answer: A

Rationale: A distended, board-like abdomen should be reported to the provider immediately because it indicates peritonitis, a serious complication of appendicitis resulting from a ruptured appendix. Option B, an elevated WBC count, may indicate infection but is not as urgent as a board-like abdomen. Option C, rebound tenderness over McBurney's point, is a classic sign of appendicitis but does not indicate immediate life-threatening complications. Option D, a slightly elevated temperature, is not as concerning as a distended, board-like abdomen.

3. What lab value should be prioritized in a patient with HIV?

A. CD4 T-cell count below 180 cells/mm3
B. White blood cell count
C. Serum albumin levels
D. Hemoglobin levels

Correct answer: A

Rationale: The correct answer is A: CD4 T-cell count below 180 cells/mm3. Monitoring the CD4 T-cell count is crucial in patients with HIV as it indicates the level of immunocompromise. A count below 180 cells/mm3 signifies severe immunocompromise and an increased risk of opportunistic infections. Choices B, C, and D are not the priority lab values in HIV management. While white blood cell count, serum albumin levels, and hemoglobin levels are important, they do not directly reflect the immune status and progression of HIV as the CD4 T-cell count does.

4. What is the first-line treatment for wheezing due to an allergic reaction?

A. Albuterol via nebulizer
B. Cromolyn via nebulizer
C. Methylprednisolone 100 mg IV
D. Aminophylline 500 mg IV

Correct answer: A

Rationale: The correct answer is A, Albuterol via nebulizer. Albuterol is the first-line treatment for wheezing caused by an allergic reaction because it acts quickly to open the airways by relaxing the muscles in the air passages. Cromolyn (Choice B) is used for asthma prevention rather than acute wheezing. Methylprednisolone (Choice C) and Aminophylline (Choice D) are not the first-line treatments for acute wheezing in the setting of an allergic reaction.

5. A healthcare professional is preparing a client for a colonoscopy. Which of the following medications should the professional anticipate the provider to prescribe as an anesthetic for the procedure?

A. Propofol
B. Pancuronium
C. Promethazine
D. Pentoxifylline

Correct answer: A

Rationale: The correct answer is A, Propofol. Propofol is a short-acting anesthetic medication commonly used for procedures like colonoscopies to induce moderate sedation. Pancuronium (Choice B) is a neuromuscular blocking agent used as a paralyzing agent during surgery, not for sedation. Promethazine (Choice C) is an antihistamine often used for nausea and vomiting, not as an anesthetic. Pentoxifylline (Choice D) is a medication used to improve blood flow and is not indicated for anesthesia.