Saunders Adult Health Exam Questions with Verified Answers

The nurse is assessing the functioning of a chest tube drainage system in a client who has just returned from the recovery room following a thoracotomy with wedge resection. Which are the expected assessment findings? Select all that apply. - ANSWER-Drainage system maintained below the client's chest, 50 mL of drainage in the drainage collection chamber, Occlusive dressing in place over the chest tube insertion site, Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation The nurse is assisting a health care provider with the removal of a chest tube. The nurse should instruct the client to take which action? - ANSWER-Perform the valsava maneuver The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the water seal chamber. What action is most appropriate? - ANSWER-Check for an air leak, because the bubbling should be intermittent. A 55-year-old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response? - ANSWER-"Please share with me more about your concerns." A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response? - ANSWER-"Take a shower immediately, lathering and rinsing several times." A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding? - ANSWER-A skin infection of the dermis and underlying hypodermis The clinic nurse assesses the skin of a client with psoriasis after the client has used a new topical treatment for 2 months. The nurse identifies which characteristics as improvement in the manifestations of psoriasis? Select all that apply. - ANSWER-Thinner and decrease in number of reddish papules, Scarce amount of silvery-white scaly patches on the arms The clinic nurse notes that the health care provider has documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test? - ANSWER-positive culture results