A patient with a chest tube transported to the ICU and
fluctuation is noted in the water seal chamber during
inspiration and expiration. What is the best action for the
nurse to take?
a) clamp the chest tube
b) return to the ED
c) assist with ventilation via bag-mask device
d) continue to ICU
d) continue to ICU
fluctuation of the water seal chamber during insp and expr
is a normal finding
,Caregivers carry a 2-year old into the ED who fell out of
2nd story window. The patient is awake and crying with
increased work of breathing and pale skin. which of the
following interventions has the highest priority?
a) stabilizing the cervical spine
b) applying a nonrebreather mask
c) establishing IV access
d) preparing for drug-assisted intubation
a) stabilizing the cervical spine
,A retained driver involved in a motor vehicle collision is
being brought to the ED with abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are BP 147/78, HR
98 bpm. A FAST exam is negative for fluid in the abdominal
and peritoneal cavities. Which of the following should the
nurse anticipate?
a) diagnostic peritoneal lavage
b) angiography
c) non-contrast abdominal CT
d) serial abdominal assessments
d) serial abdominal assessments
, The FAST exam is done at the bedside to identify
pathological fluid in the abdominal and pelvic cavities and
reduces the need for more invasive testing. However, a
negative FAST exam does not rule out injury, so serial
abdominal assessments should occur. If a CT scan is
indicated, it should be done with contrast
fluctuation is noted in the water seal chamber during
inspiration and expiration. What is the best action for the
nurse to take?
a) clamp the chest tube
b) return to the ED
c) assist with ventilation via bag-mask device
d) continue to ICU
d) continue to ICU
fluctuation of the water seal chamber during insp and expr
is a normal finding
,Caregivers carry a 2-year old into the ED who fell out of
2nd story window. The patient is awake and crying with
increased work of breathing and pale skin. which of the
following interventions has the highest priority?
a) stabilizing the cervical spine
b) applying a nonrebreather mask
c) establishing IV access
d) preparing for drug-assisted intubation
a) stabilizing the cervical spine
,A retained driver involved in a motor vehicle collision is
being brought to the ED with abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are BP 147/78, HR
98 bpm. A FAST exam is negative for fluid in the abdominal
and peritoneal cavities. Which of the following should the
nurse anticipate?
a) diagnostic peritoneal lavage
b) angiography
c) non-contrast abdominal CT
d) serial abdominal assessments
d) serial abdominal assessments
, The FAST exam is done at the bedside to identify
pathological fluid in the abdominal and pelvic cavities and
reduces the need for more invasive testing. However, a
negative FAST exam does not rule out injury, so serial
abdominal assessments should occur. If a CT scan is
indicated, it should be done with contrast
