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NEW QUESTION 39
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:

• A. Provide a means to measure chest drainage
• B. Prevent air from entering the pleural space
• C. Provide an indicator of respiratory effort
• D. Prevent fluid from entering the pleural space

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) A chest tube extends from the pleural space to a collection device. The tube is placed below the surface of the saline so that air cannot enter the pleural space. (B) Fluid may enter the pleural space as a result of injury or disease. A chest tube may drain fluid from the pleural space, but the water seal is not involved in this. (C) Chest drainage should be measured, but the water seal is not involved in this. (D) Fluctuations in the tube in the water-sealed bottle will give an indication of respiratory effort, but that is not the purpose of the water seal.

NEW QUESTION 40
The nurse is caring for a client who has diabetes insipidus. The nurse would describe this client's urine output pattern as:

• A. Dysuria
• B. Polyuria
• C. Oliguria
• D. Anuria

Answer: B

Explanation:
Explanation/Reference:
Explanation:
Explanation
(A)Anuriais defined as absence of urine output, which is not indicative of the urinary pattern of diabetes insipidus. (B)Oliguriais defined as <500 mL of urine per day, which is not a urinary output pattern associated with diabetes insipidus. (C)Dysuriais defined as difficult urination. Clients with diabetes insipidus do not have dysuria as a symptom of their disease. (D) Polyuria is a primary symptom of diabetes insipidus. These clients have decreased or absent vasopressin secretion, which causes water loss in the urine and sodium increases.

NEW QUESTION 41
Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

• A. Observe for skin rash and diarrhea.
• B. Monitor blood pressure, pulse.
• C. Administer 2 hours before meals.
• D. Limit fluids to 500 mL/day.

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Fluids up to 2500-3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.

NEW QUESTION 42
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