NURSING 1429041 Module
9 Exam Questions.
Module 9: Exam
Questions
1. A client who has undergone abdominal surgery calls the nurse and reports that she
... [Show More] just felt “something
give way” in the abdominal incision. The nurse checks the incision and notes the presence of wound
dehiscence. The nurse should take which immediate action?
o Document the findings
o Contact the health care provider
o Place the client in a supine position with the legs flat
o Cover the abdominal wound with a sterile dressing moistened with sterile saline
solution
2. A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless
and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a
copious amount of bright-red blood. The nurse should take which immediate action?
o Notify the surgeon
o Continue the assessment
o Check the client’s blood pressure
o Obtain a flashlight, gauze, and a curved hemostat
3. A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and tachypnea. The
nurse suspects that the client has a pulmonary embolism and immediately sets about to take which
action?
o Preparing the client for a perfusion scan
o Attaching the client to a cardiac monitor
o Administering oxygen by way of nasal cannula
o Ensuring that the intravenous (IV) line is patent
4. A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes constant
bubbling in the water seal chamber. What actions should the nurse take? (Select all that apply).
o Clamp the chest tube
o Chang the drainage system
o Assess the system for an external air leak
o Reduce the degree of suction being applied
o Document assessment findings, actions taken, and client response
5. A nurse is helping a client with a closed chest tube drainage system get out of bed and into a chair.
During the transfer, the chest tube is caught on the leg of the chair and dislodged from the insertion site.
What is the immediate nursing action?
o Reinsert the chest tube
o Contact the health care provider
o Transfer the client back to bed
o Cover the insertion site with a sterile occlusive dressing
6.A nurse performing nasopharyngeal suctioning and suddenly notes the presence of bloody secretions.
Which action should the nurse take first?
o Continue suctioning to remove the blood
o Check the degree of suction being applied
o Encourage the client to cough out the bloody secretions
o Remove the suction catheter from the client’s nose and begin vigorous suctioning through the
mouth
7.A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to
cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client’s
trachea but is unable to do so. Which action should the nurse take first?
o Call a code
o Contact the health care provider
o Administer a bronchodilator
o Disconnect the suction source from the catheter [Show Less]