Of the Following Nursing Assessments,which Should Be Reported to the Primary

question 26

Multiple Choice

Of the following nursing assessments,which should be reported to the primary care provider immediately by the nurse?

• A)Bloody drainage from a patient with a hemothorax
• B)Subcutaneous emphysema is noted on assessment.
• C)Bubbling in the water seal stops on a patient with a pneumothorax.
• D)Over 300 mL of drainage has been collected in the system in the past hour.

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Definitions:

Insomnia

A sleep disorder characterized by difficulty falling and/or staying asleep.

Weight Loss

The reduction of total body mass due to loss of fluid, fat, muscle, or other substances, potentially as a result of diet, exercise, or a medical condition.

Myxedema

A severe form of hypothyroidism characterized by swelling of the skin and tissues, especially in the face and extremities.

Blood Pressure

The force exerted by circulating blood on the walls of blood vessels, usually measured in the arteries.