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29. The nurse is caring for a male client with a chest tube and chest drainage system and the tube is accidentally disconnected from the patient. What is the most likely intervention should the nurses expected to do A. Place the end of the chest tube in a container of sterile saline B. Apply occlusive dressing and notify the physician C. Clamp the chest tube immediately D. Secure the chest tube with a tape 30. A female client is admitted to the central medical intensive care unit at Hiwot Fana compressive Specialized Hospital for treatment of chronic pulmonary obstructive disease.Which nursing diagnosis is most important for this client? A. Activity intolerance related to fatigue B. Anxiety related to the actual threat to health status C. Risk of infection related retained secretions D. Impaired gas exchange related to airflow obstruction 31. A 43 years old male client with cystic fibrosis is admitted to an acute care facility with an acute respiratory infection . Physician -prescribed respiratory treatment includes chest physiotherapy . When should the nurse perform this procedure? A. Immediately before a meal B. At least two hours after a meal C. When bronchospasms is occur D. When secretions have mobilized 32. A 23 -years-old client has been hit on the head with a baseball bat . The nurse notes clear fluid draining from his ear and nose.. Which of the following nursing interventions should be done first? A. Position the client flat in bed B. Check the fluid for dextrose with a dipstick C. Suction the noise to maintain airway patency D. Insert nasal and ear packing with sterile gauze 33. The nurse is discussing the purpose of electroence phalography (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousnes 3. It would be most accurate for the nurse to tell family members which of the following conditions? A. Extent of intracranial bleeding B. Sites of brain injury C. Activity of the brain D. Percent of function brain tissue 34. Assume you are on the duty in chronic OPD newly diagnosed with type 1 diabetes patient coming with you. You are teaching basic survival skills to the patient . What topic should be addressed for this patient? A. Signs and symptoms of diabetic nephropathy B . Management of diabetic ketoacidosis C. Effects of surgery and pregnancy on blood sugar levels D. Reco onition of h vpoglvcemia and hyperglvcemia

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29. The nurse is caring for a male client with a chest tube and chest drainage system and the tube is accidentally disconnected from the patient. What is the most likely intervention should the nurses expected to do A. Place the end of the chest tube in a container of sterile saline B. Apply occlusive dressing and notify the physician C. Clamp the chest tube immediately D. Secure the chest tube with a tape 30. A female client is admitted to the central medical intensive care unit at Hiwot Fana compressive Specialized Hospital for treatment of chronic pulmonary obstructive disease.Which nursing diagnosis is most important for this client? A. Activity intolerance related to fatigue B. Anxiety related to the actual threat to health status C. Risk of infection related retained secretions D. Impaired gas exchange related to airflow obstruction 31. A 43 years old male client with cystic fibrosis is admitted to an acute care facility with an acute respiratory infection . Physician -prescribed respiratory treatment includes chest physiotherapy . When should the nurse perform this procedure? A. Immediately before a meal B. At least two hours after a meal C. When bronchospasms is occur D. When secretions have mobilized 32. A 23 -years-old client has been hit on the head with a baseball bat . The nurse notes clear fluid draining from his ear and nose.. Which of the following nursing interventions should be done first? A. Position the client flat in bed B. Check the fluid for dextrose with a dipstick C. Suction the noise to maintain airway patency D. Insert nasal and ear packing with sterile gauze 33. The nurse is discussing the purpose of electroence phalography (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousnes 3. It would be most accurate for the nurse to tell family members which of the following conditions? A. Extent of intracranial bleeding B. Sites of brain injury C. Activity of the brain D. Percent of function brain tissue 34. Assume you are on the duty in chronic OPD newly diagnosed with type 1 diabetes patient coming with you. You are teaching basic survival skills to the patient . What topic should be addressed for this patient? A. Signs and symptoms of diabetic nephropathy B . Management of diabetic ketoacidosis C. Effects of surgery and pregnancy on blood sugar levels D. Reco onition of h vpoglvcemia and hyperglvcemia

29. The nurse is caring for a male client with a chest tube and chest drainage system and the tube is accidentally disconnected from the patient. What is the most likely intervention should the nurses expected to do A. Place the end of the chest tube in a container of sterile saline B. Apply occlusive dressing and notify the physician C. Clamp the chest tube immediately D. Secure the chest tube with a tape 30. A female client is admitted to the central medical intensive care unit at Hiwot Fana compressive Specialized Hospital for treatment of chronic pulmonary obstructive disease.Which nursing diagnosis is most important for this client? A. Activity intolerance related to fatigue B. Anxiety related to the actual threat to health status C. Risk of infection related retained secretions D. Impaired gas exchange related to airflow obstruction 31. A 43 years old male client with cystic fibrosis is admitted to an acute care facility with an acute respiratory infection . Physician -prescribed respiratory treatment includes chest physiotherapy . When should the nurse perform this procedure? A. Immediately before a meal B. At least two hours after a meal C. When bronchospasms is occur D. When secretions have mobilized 32. A 23 -years-old client has been hit on the head with a baseball bat . The nurse notes clear fluid draining from his ear and nose.. Which of the following nursing interventions should be done first? A. Position the client flat in bed B. Check the fluid for dextrose with a dipstick C. Suction the noise to maintain airway patency D. Insert nasal and ear packing with sterile gauze 33. The nurse is discussing the purpose of electroence phalography (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousnes 3. It would be most accurate for the nurse to tell family members which of the following conditions? A. Extent of intracranial bleeding B. Sites of brain injury C. Activity of the brain D. Percent of function brain tissue 34. Assume you are on the duty in chronic OPD newly diagnosed with type 1 diabetes patient coming with you. You are teaching basic survival skills to the patient . What topic should be addressed for this patient? A. Signs and symptoms of diabetic nephropathy B . Management of diabetic ketoacidosis C. Effects of surgery and pregnancy on blood sugar levels D. Reco onition of h vpoglvcemia and hyperglvcemia

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29. **B. Apply occlusive dressing and notify the physician**<br /><br />When a chest tube is accidentally disconnected from the patient, the most likely intervention the nurse should perform is to apply an occlusive dressing to the site and notify the physician immediately. This helps prevent air from entering the pleural space and causing a pneumothorax.<br /><br />30. **D. Impaired gas exchange related to airflow obstruction**<br /><br />For a client with chronic pulmonary obstructive disease (COPD) admitted to the intensive care unit, the most important nursing diagnosis is impaired gas exchange related to airflow obstruction. This diagnosis addresses the primary issue affecting the client's respiratory function.<br /><br />31. **B. At least two hours after a meal**<br /><br />Chest physiotherapy should be performed at least two hours after a meal to prevent nausea and vomiting. Performing the procedure immediately before a meal can lead to these complications.<br /><br />32. **C. Suction the nose to maintain airway patency**<br /><br />When a client has clear fluid draining from the ear and nose after being hit on the head, the nurse should first suction the nose to maintain airway patency. This helps prevent aspiration and ensures the airway remains clear.<br /><br />33. **C. Activity of the brain**<br /><br />Electroencephalography (EEG) is used to assess the activity of the brain. It can help determine if there is any abnormal electrical activity in the brain, which can indicate brain injury or dysfunction.<br /><br />34. **D. Recognition of hypoglycemia and hyperglycemia**<br /><br />For a newly diagnosed type 1 diabetes patient, it is crucial to address the recognition of hypoglycemia and hyperglycemia. These conditions can occur frequently, and the patient needs to know the signs and symptoms as well as how to manage them.
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