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The chest drainage unit cdu the nurse notes bubbling

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the chest drainage unit (CDU), the nurse notes bubbling in the water-seal chamber. What is thefirst action the nurse should take?a. Call the health care provider as soon as possibleb. Check for any increase in the amount of drainagec. Reposition the client to improve the level of comfortd. Assess the chest tube dressing, tubing and drainage systemd. Assess the chest tubedressing, tubing and drainage systemThe first action the nurse should take is to thoroughly check the dressing, tubing and drainagesystem. Usually intermittent bubbling in the water-seal chamber right after surgery indicates anair leak from the pleural space; this is a common finding and should resolve as the lung re-expands. Continuous bubbling usually means a leak in the CDU, such as a loose connection or aleak around the insertion site. Other nursing actions will include assessing the color and amountof the drainage and assessing the lungs. After the initial post-operative period, the nurse willassist the client to change positions and cough and deep breath to help re-expand the lung andpromote fluid drainage.The nurse is caring for a client who is in the advanced stage of multiple myeloma. Which actionshould be included in the plan of care?a. Careful repositioningb. Administer diuretics as orderedc. Place in protective isolationd. Monitor for hyperkalemiaa. Careful repositioningMultiple myeloma occurs when abnormal plasma cells (myeloma cells) collect in several bones.This disease may also harm other tissues and organs, especially the kidneys. This type of cancercauses hypercalcemia, renal failure, anemia,and bone damage. Because multiple myeloma cancause erosion of bone mass and fractures, extra care should be taken when moving or positioninga client due to the risk of pathological fractures.The nurse is caring for a client in the late stages of amyotrophic lateral sclerosis (ALS). Whichfinding would the nurse expect?a. Confusionb. Loss of half of visual field
c. Tonic-clonic seizuresd. Shallow respirationsd. Shallow respirationsALS is a chronic progressive neurodegenerative disease that affects nerve cells in the brain andspinal cord. In ALS, upper and lower motor neurons degenerate (die) and stop sending messagesto muscles; all muscles under voluntary control eventually weaken and atrophy. Peopleeventually lose their ability to speak, eat, move and breathe. However, ALS does not impair aperson's mind or intelligence. ALS does not affect a person's ability to see, smell, taste, hear orrecognize touch.The nurse is teaching a client with coronary artery disease about nutrition. What informationshould the nurse be sure to emphasize?a. Eat three balanced meals a dayb. Avoid large and heavy mealsc. Add complex carbohydrates to each meald. Limit sodium to 7 grams per dayb. Avoid large and heavy mealsEating large, heavy meals can pull blood away from the heart for the digestion process. This mayresult in angina for clients with coronary artery disease. Sodium for clients with cardiac diseaseis limited to two grams per day. Three meals a day is a correct approach. However, it does not

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Term
Spring
Professor
Dr. Diggins
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