Answer to Question 1
ANS: B
The large amount of blood may indicate that the patient is in danger of developing hypovolemic shock. An air leak would be expected immediately after chest tube placement for a pneumothorax. Initially, brisk bubbling of air occurs in this chamber when a pneumothorax is evacuated. The pain should be treated but is not as urgent a concern as the possibility of continued hemorrhage. Subcutaneous emphysema should be monitored but is not unusual in a patient with pneumothorax. A small amount of subcutaneous air is harmless and will be reabsorbed.
Answer to Question 2
ANS: B
The nurse's initial response should be to collect more assessment data about the patient's statement. The answer beginning Can you tell me what it is is the most open-ended question and will offer the best opportunity for obtaining more data. The answer beginning, Are you afraid implies that the patient thinks that the cancer will be immediately fatal, although the patient's statement may not be related to the cancer diagnosis. The remaining two answers offer interventions that may be helpful to the patient, but more assessment is needed to determine whether these interventions are appropriate.
A, A nurse is adding a medication to an IV line as a piggyback
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Nurse using a stethoscope
Penetrating Trauma to the Heart (Nail) as Seen on Lateral Chest X-Ray