A Closed water drainage system with suction.

A client had a chest tube connected to a closed water drainage system with suction. Which equipment should……. the nurse have at the client’s bedside?

a.Sterile gauze dressing

b.Suction catheter

c. Sterile piston syringe

d.Suture removal kit

38.The nurse is preparing to start an IV 1000mL of normal saline with 30meq potassium chloride for a client with DKA. Before implementing the prescription which assessment finding is most important for the nurse to obtain?

a.Breath sounds

b.Blood pressure

c. Skin turgor

d.Urinary output

39.A client with a right lateral chest tube needs to be transported to chest x ray which intervention is most important for the nurse to implement?

a.Send the client to radiology on a stretcher

b.Medicate for pain prior to moving the client

c. Mark drainage amount on the collection chamber

d.Keep the drainage system below insertion site

40.The nurse is caring for an older client with heart failure whose arterial blood gas results are pH7.38 pPaO2 90, PaCO2 24. Which action should the nurse implement?

a.Continue to monitor the clients condition

b.Encourage the client to cough and deep breathe

c. Instruct the client to breath into a paper bag

d.Administer oxygen per face mask per PRN protocol

41.On admission to the ICU for sepsis caused by a ruptured appendix the clients temperature 100F……. Other hemodynamic findings are cardiac output 10.7, systemic vascular resistance 480, WBC 28000, which classification medication prescribed should the nurse evaluate for clients stabilization?

a.ACE inhibitor

b.Negative inotrope

c. Diuretic

d.Vasoconstrictor

42. A client is admitted to the ICU after a colon resection with the formation of loop colostomy. The nurse determines the client’s abdominal dressing is clean and dry. Vital signs are temperature 100 F, heart rate 132 bpm, bp 88/65, urine output 10 ml/hr. Which intervention should the nurse implement?

a.Administer antipyretic agent

b.Give 500mL IV bolus challenge

c. Place a cooling blanket on the client

d.Titrate IV vasopressors for systolic less than 80