ATI Med Surg Exam 3 question well elaborated 2024.

A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table B. Explain the procedure C. Obtain ABGs D. Administer benzocaine spray -answers A A nurse at a provider's office is reviewing information with a client scheduled for pulmonary function tests. Which of the following information should the nurse include? A. Do not use inhaler medications for 6 hours following the test B. Do not smoke tobacco for 6-8 hours following the test C. You will be asked to bear down and hold your breath during the procedure D. The arterial blood flow to your hand will be evaluated as part of the test -answers B A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider? A. Blood-tinged sputum B. Dry, non-productive cough C. Sore throat D. Bronchospasms -answers D 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 client's room? (Select all that apply) A. Oxygen equipment B. Incentive spirometer C. Pulse oximeter D. Sterile dressing E. Suture removal kit -answers A, C, D A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select all that apply) A. Dyspnea B. Localized bloody drainage on the dressing C. Fever D. Hypotension E. Report of pain at the puncture site -answers A, C, D A nurse is preparing care for a client following a chest tube placement. Which of the following items should be available in the client's room? (Select all that apply) A. Oxygen B. Sterile water C. Enclosed hemostat clamps D. Indwelling urinary catheter E. Occlusive dressing -answers A, B, C, E A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. Which of the following actions should the nurse take first? A. Obtain a chest x-ray B. Apply sterile gauze to the insertion site C. Place tape around the insertion site D. Assess respiratory status -answers B A nurse is caring for a client who has a chest tube and drainage system in place. Which of the following are expected findings? (Select all that apply) A. Continuous bubbling in the water seal chamber B. Gentle constant bubbling in the suction control chamber C. Rise and fall in the level of water in the water seal chamber with inspiration and expiration D. Exposed sutures without dressing E. Drainage system upright at chest level -answers B, C 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 at his 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 -answers D A nurse is planning care for a client following the placement of a chest tube and drainage system. Which of the following should be included in the plan of care? (Select all that apply) A. Encourage the client to cough and deep breathe B. Check for continuous bubbling in the suction chamber C. Strip the drainage tubing every 4 hours D. Clamp the tube once a day E. Obtain a chest x-ray -answers A, B, E