1. A nurse is caring for a patient who has a chest tube connected to a
water-seal drainage system. The nurse notices that there is continuous
bubbling in the water-seal chamber. What should the nurse do next?
a) Clamp the chest tube near the insertion site
b) Check the system for air leaks
c) Increase the suction pressure
d) Document the finding as normal
*Answer: b) Check the system for air leaks*
Rationale: Continuous bubbling in the water-seal chamber indicates an
air leak in the system, which can compromise the drainage and lung reexpansion. The nurse should check the system for air leaks and seal
them if possible. Clamping the chest tube can cause tension
pneumothorax, increasing the suction pressure can damage the lung
tissue, and documenting the finding as normal can delay appropriate
intervention.
2. A nurse is preparing to administer an intramuscular injection to a
patient who has a history of anaphylaxis. The nurse has drawn up 0.3
mL of epinephrine from a 1 mg/mL vial. What is the concentration of
epinephrine in the syringe?
a) 0.03 mg
b) 0.3 mg
c) 3 mg
d) 30 mg
*Answer: b) 0.3 mg*
Rationale: The concentration of epinephrine in the syringe is calculated
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