[Feb 26, 2024] NCLEX NCLEX-RN Exam Dumps Files, Q94/566: A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when

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Question 94/566

A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:

A. Instruct the client to cough deeply to re-expand her lung

B. Put on sterile gloves and replace the tube

C. Apply a petrolatum dressing over the site

D. Auscultate the lung to determine if she needs the tube replaced

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A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in hi...; Q309. A client's behavior is annoying other clients on the unit. He is meddling with their belon...; Q310. A client confides to the nurse that he tasted poison in his evening meal. This would be an...; Q311. In client teaching, the nurse should emphasize that fetal damage occurs more frequently wi...; Q312. Clinical manifestations seen in left-sided rather than in right-sided heart failure are:...; Q313. The primary reason that an increase in heart rate (100 bpm) detrimental to the client with...; Q314. A 45-year-old client has a permanent colostomy. Which of the following foods should he avo...; Q315. A psychotic client who believes that he is God and rules all the universe is experiencing ...; Q316. A client is pregnant for the fourth time and has had three normal vaginal deliveries. She ...; Q317. Before giving methergine postpartum, the nurse should assess the client for:...; Q318. A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and...; Q319. A pregnant client continues to visit the clinic regularly during her pregnancy. During one...; Q320. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be...; Q321. A male client is admitted to the medical-surgical unit from the emergency room with a diag...; Q322. A pregnant client continues to visit the clinic regularly during her pregnancy. During one...; Q323. A 6-month-old infant has developmental delays. His weight falls below the 5th percentile w...; Q324. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...; Q325. A schizophrenic client has made sexual overtures toward her physician on numerous occasion...; Q326. A client's membranes have just ruptured spontaneously. Which of the following nursing acti...; Q327. A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gai...; Q328. The nurse has been assigned a client who delivered a 6-lb, 12-oz baby boy vaginally 40 min...; Q329. A client has been uncomfortable in crowds all her life. After the birth of her child, she ...; Q330. The physician prescribes amitriptyline (Elavil) for a client. What does the patient need t...; Q331. Which of the following physician's orders would the nurse question on a client with chroni...; Q332. Before giving methergine postpartum, the nurse should assess the client for:...; Q333. A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your bl...; Q334. The nurse is trying to help a mother understand what is happening with her son who has rec...; Q335. The serial sevens test is often used to determine delirium and dementia. This test aids in...; Q336. When discussing the relationship between exercise and insulin requirements, a 26-year-old ...; Q337. Which one of the following is considered a reliable indicator for assessing the adequacy o...; Q338. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and st...; Q339. A female client presents to the obstetric-gynecology clinic for a pregnancy test, the resu...; Q340. A client suspects that she is pregnant. She reports two missed menstrual periods. The firs...; Q341. A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the followi...; Q342. A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease...; Q343. Which classification of drugs is contraindicated for the client with hypertrophic cardiomy...; Q344. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...; Q345. A client presented herself to the mental health center, describing the following symptoms:...; Q346. During his hospitalization, a 3-year-old child has become unusually aggressive in his play...; Q347. Following a bicycle accident, a 12-year-old client sustained a complete fracture of the le...; Q348. A client with cystic fibrosis exhibits activity intolerance related to the pulmonary probl...; Q349. A client is taught to eat foods high in potassium. Which food choices would indicate that ...; Q350. In assessing the nature of the stool of a client who has cystic fibrosis, what would the n...; Q351. Which of the following signs might indicate a complication during the labor process with v...; Q352. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...; Q353. A male client is being treated in the burn unit for thirddegree burns on his head, neck, a...; Q354. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...; Q355. Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following...; Q356. The nurse is assessing and getting a history from a client treated for depression with a m...; Q357. Which of the following signs and symptoms indicates a tension pneumothorax as compared to ...; Q358. After several days, an IDDM client's serum glucose stabilizes, and the registered nurse co...; Q359. A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first ...; Q360. A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her art...; Q361. A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on iso...; Q362. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...; Q363. A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She ...; Q364. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...; Q365. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...; Q366. A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion an...; Q367. Following a bicycle accident, a 12-year-old client sustained a complete fracture of the le...; Q368. A client is receiving IV morphine 2 days after colorectal surgery. Which of the following ...; Q369. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...; Q370. The nurse assesses a postoperative mastectomy client and notes that breath sounds are dimi...; Q371. The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injur...; Q372. A 16-year-old client reports a weight loss of 20% of her previous weight. She has a histor...; Q373. A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, an...; Q374. The family member of a child scheduled for heart surgery states, "I just don't understand ...; Q375. A nurse should carefully monitor a client for the following side effect of MgSO4:...; Q376. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...; Q377. A female client at 10 weeks' gestation complains to her physician of slight vaginal bleedi...; Q378. A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorex...; Q379. When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extrava...; Q380. A client's renal calculi are identified as consisting of calcium phosphate. Which of the f...; Q381. A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat ...; Q382. A 35-year-old client is receiving psychopharmacological treatment of his major depression ...; Q383. The nurse assists a client with advanced emphysema to the bathroom. The client becomes ext...; Q384. A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. ...; Q385. A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mothe...; Q386. A client tells the nurse that she has had a history of urinary tract infections. The nurse...; Q387. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...; Q388. Home-care instructions for the child following a cardiac catheterization should include:...; Q389. A female client is exhibiting signs of respiratory distress. Which of the following signs ...; Q390. The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tanna...; Q391. A newborn has been delivered with a meningomyelocele. The nursery nurse should position th...; Q392. A male client has been hospitalized with congestive heart failure. Medical management of h...; Q393. A client returns to the cardiovascular intensive care unit following his coronary artery b...; Q394. The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm....; Q395. A child with celiac disease is being discharged from the hospital. The mother demonstrates...; Q396. A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm an...; Q397. The nurse who is caring for a client with pneumonia assesses that the client has become in...; Q398. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...; Q399. In the coronary care unit, a client has developed multifocal premature ventricular contrac...; Q400. After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries a...; Q401. One of the most reliable assessment tools for adequacy of fluid resuscitation in burned ch...; Q402. The nurse would need to monitor the serum glucose levels of a client receiving which of th...; Q403. A child is admitted to the emergency room with her mother. Her mother states that she has ...; Q404. A female client has been treated since childhood for mitral valve prolapse. The antibiotic...; Q405. A client is being treated for congestive heart failure. His medical regimen consists of di...; Q406. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...; Q407. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...; Q408. Which of the following blood values would require further nursing action in a newborn who ...; Q409. Parents of a child with rheumatic fever express concern that she will always be arthritic....; Q410. Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adher...; Q411. A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescr...; Q412. For the past several months, an elderly female client with Alzheimer's disease has experie...; Q413. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...; Q414. Medication is administered to a client who has been placed in restraints after a sudden vi...; Q415. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on...; Q416. A client is admitted to the labor unit. On vaginal examination, the presenting part in a c...; Q417. The nurse writes the following nursing diagnosis for a client in acute renal failure - Imp...; Q418. On the first postpartal day, a client tells the nurse that she has been changing her perin...; Q419. A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, ...; Q420. A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an ...; Q421. Nursing care of the infant prior to surgical closure of a meningomyelocele would include:...; Q422. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...; Q423. The physician orders medication for a client's unpleasant side effects from the haloperido...; Q424. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...; Q425. A 40-year-old client has been admitted to the hospital with severe substernal chest pain r...; Q426. A male client has burns over 90% of his body after an automobile accident resulting in a f...; Q427. Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 2...; Q428. A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing...; Q429. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...; Q430. The FHR pattern in a laboring client begins to show early decelerations. The nurse would b...; Q431. A 9-month-old infant is being examined in the general pediatric clinic for a routine well-...; Q432. The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It wo...; Q433. A 74-year-old obese man who has undergone open reduction and internal fixation of the righ...; Q434. A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administ...; Q435. Parents of young children often need anticipatory guidance from the nurse. Parents may hav...; Q436. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...; Q437. Which of the following procedures is necessary to establish a definitive diagnosis of brea...; Q438. A 6-year-old child returned to the surgical floor 20 hours ago after an appendectomy for a...; Q439. In an interview for suspected child abuse, the child's mother openly discusses her feeling...; Q440. A client is being discharged from the hospital tomorrow following a colon resection with a...; Q441. A male client has experienced low back pain for several years. He is the primary support o...; Q442. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the ...; Q443. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...; Q444. The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injur...; Q445. A female client is concerned that she is in a "high-risk" group for the development of acq...; Q446. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...; Q447. The initial focus when providing nursing care for a child with rheumatic fever during the ...; Q448. After several days, an IDDM client's serum glucose stabilizes, and the registered nurse co...; Q449. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...; Q450. A schizophrenic client has made sexual overtures toward her physician on numerous occasion...; Q451. A female client is exhibiting signs of respiratory distress. Which of the following signs ...; Q452. The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following ...; Q453. A client is to have a coronary artery bypass graft performed in the morning using a saphen...; Q454. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...; Q455. When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to b...; Q456. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symp...; Q457. The postpartum nurse should include which of the following instructions to breast-feeding ...; Q458. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...; Q459. A client in active labor asks the nurse for coaching with her breathing during contraction...; Q460. The serial sevens test is often used to determine delirium and dementia. This test aids in...; Q461. A 20-year-old male client is being treated for protein deficiency. If he likes all of the ...; Q462. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...; Q463. A client has been instructed in how to take her nitroglycerin tablets. The nurse giving he...; Q464. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurs...; Q465. A male client is admitted to the psychiatric unit after experiencing severe depression. He...; Q466. A female client has been treated since childhood for mitral valve prolapse. The antibiotic...; Q467. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...; Q468. A client had a cardiac catheterization with angiography and thrombolytic therapy with stre...; Q469. A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor...; Q470. After a liver biopsy, the best position for the client is:...; Q471. While the nurse is taking a male client's blood pressure, he makes flirtatious remarks to ...; Q472. A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, ...; Q473. The nurse has been caring for a 16-year-old female who recently experienced date rape. Aft...; Q474. A client is started on prednisone 2.5 mg po bid. Which of the following instructions shoul...; Q475. A 3-year-old female client is brought into the pediatric clinic because she limps. She has...; Q476. A female client is seeking counseling for personal problems. She admits to being very unha...; Q477. A 27-year-old healthy primigravida is brought to the labor and birthing room by her husban...; Q478. A male client received a heart-lung transplant 1 month ago at a local transplant center. W...; Q479. The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following ...; Q480. Degenerative disorders are attributed to many factors. As a nurse assigned to a convalesce...; Q481. A 67-year-old postoperative TURP client has hematuria. The nurse caring for him reviews hi...; Q482. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be...; Q483. A client with bipolar disorder taking lithium tells the nurse that he has ringing in his e...; Q484. A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolati...; Q485. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...; Q486. A postoperative prostatectomy client is preparing for discharge from the hospital the next...; Q487. A client develops complications following a hysterectomy. Blood cultures reveal Pseudomona...; Q488. A murmur has been discovered during the routine physical examination of a 1-year-old child...; Q489. Prior to administering digoxin to a client with congestive heart failure, the nurse needs ...; Q490. A 67-year-old client will be undergoing a coronary arteriography in the morning. Client te...; Q491. A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has falle...; Q492. Which of the following nursing actions is essential to prevent drug-resistant tuberculosis...; Q493. A female client admitted to the labor and delivery unit thinks her bag of water "broke" ap...; Q494. Which of the following nursing orders has the highest priority for a child with epiglottit...; Q495. A female client has a chest tube placed. It is accidentally pulled out of the intrapleural...; Q496. The nurse has been caring for a 16-year-old female who recently experienced date rape. Aft...; Q497. A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he compla...; Q498. In addition to changing the mother's position to relieve cord pressure, the nurse may empl...; Q499. A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat ...; Q500. The physician prescribes amitriptyline (Elavil) for a client. What does the patient need t...; Q501. A client is taught to eat foods high in potassium. Which food choices would indicate that ...; Q502. A client is in active labor and has been admitted to the labor and delivery unit. The RN h...; Q503. An infant with a congenital heart defect is being discharged with an order for the adminis...; Q504. During the assessment, the nurse observes a client scratching his skin. He has been admitt...; Q505. A client tells the nurse that she has had a history of urinary tract infections. The nurse...; Q506. A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse ba...; Q507. The nurse would be concerned if a client exhibited which of the following symptoms during ...; Q508. A client suspects that she is pregnant. She reports two missed menstrual periods. The firs...; Q509. The nurse should know that according to current thinking, the most important prognostic fa...; Q510. Which of the following menu choices would indicate that a client with pressure ulcers unde...; Q511. Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent pe...; Q512. Blood work reveals the following lab values for a client who has been diagnosed with anore...; Q513. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...; Q514. The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may...; Q515. A psychotic client who believes that he is God and rules all the universe is experiencing ...; Q516. Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclam...; Q517. A client returned to the unit following a pneumonectomy. As the nurse is assessing her inc...; Q518. A 71-year-old client fell and injured her left leg while cooking in the kitchen. Her husba...; Q519. A 43-year-old client is admitted to the hospital with a diagnosis of peripheral vascular d...; Q520. Forty-eight hours after a thyroidectomy, a female client complains of numbness and tinglin...; Q521. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q522. A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). ...; Q523. Which of the following risk factors associated with breast cancer would a nurse consider m...; Q524. As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign o...; Q525. A female client is anticipating a visit with her parents over the Thanksgiving holidays. S...; Q526. After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries a...; Q527. A 2-year-old boy is in the hospital outpatient department for observation after falling ou...; Q528. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...; Q529. A 47-year-old client comes to the emergency department complaining of moderate flank, abdo...; Q530. A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely caus...; Q531. When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic...; Q532. A client is admitted to the psychiatric unit after lavage and stabilization in the emergen...; Q533. A male client has heart failure. He has been instructed to gradually increase his activiti...; Q534. Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care...; Q535. A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventric...; Q536. An 80-year-old widow is living with her son and daughter- in-law. The home health nurse ha...; Q537. A client on the infectious disease unit is discussing transmission of human immunodeficien...; Q538. A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Wh...; Q539. A client is pregnant with her second child. Her last menstrual period began on January 15....; Q540. A female client admitted to the labor and delivery unit thinks her bag of water "broke" ap...; Q541. When evaluating a client with symptoms of shock, it is important for the nurse to differen...; Q542. A female client at 36 weeks' gestation has been treated successfully for premature labor f...; Q543. In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the n...; Q544. A 19-year-old primigravida is admitted to the labor and delivery suite of the hospital. He...; Q545. The nurse knows that children are more susceptible to respiratory tract infections owing t...; Q546. A parent told the public health nurse that her 6-year-old son has been taking tetracycline...; Q547. A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the followi...; Q548. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...; Q549. A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright ...; Q550. Which of the following nursing orders should be included in the plan of care for a client ...; Q551. A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adoles...; Q552. A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the ...; Q553. Which classification of drugs is contraindicated for the client with hypertrophic cardiomy...; Q554. In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can ...; Q555. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. Durin...; Q556. The nurse would assess the client's correct understanding of the fertility awareness metho...; Q557. A male client is admitted to the psychiatric unit after experiencing severe depression. He...; Q558. A pregnant client during labor is irritable and feels the urge to vomit. The nurse should ...; Q559. In addition to changing the mother's position to relieve cord pressure, the nurse may empl...; Q560. A child sustains a supracondylar fracture of the femur. When assessing for vascular injury...; Q561. A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the...; Q562. A 65-year-old client who has a new colostomy is preparing for discharge from the hospital....; Q563. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...; Q564. A client presents to the psychiatric unit crying hysterically. She is diagnosed with sever...; Q565. To appropriately monitor therapy and client progress, the nurse should be aware that incre...; Q566. Which of the following ECG changes would be seen as a positive myocardial stress test resp...

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