Nursing Practice III

Situation One learns by doing especially when you practice the best method.

1. Which action by a new nurse signifies a need for further teaching in infection control? a. The nurse places the side rails to an unconscious patient b. The nurse elevate the head of the bed to check the BP c. The nurse uses her bare hands to change the dressing d. The nurse applies oxygen catheter to the mouth

2. You are on PM shift and about 5 patients are discharged. You noted that the orderly was looking through the items of one of the patients. Which action should you pursue? a. Call the attention of the orderly in private b. Ignore the situation because you are busy c. Report this behaviour to the nurse incharge d. Monitor the situation and note whether any other items are reported missing

3. What appropriate action should you do when you overhear the nursing attendant speaking harshly to an elderly patient? a. Try to explore the interaction with the nursing attendant concerned b. Change the attendants assignment c. Initiate group discussion with all the other nursing attendant d. Discuss the matter with the patients family

4. Disposal of medical records in the government hospitals need collaboration with the following department except: a. DOH b. MMDA c. DILG d. RMAO

5. You saw one colleague charting medication administration that she has not administered. after talking to her, you also report the incident to the charge nurse. The charge nurse should: a. Require the staff to submit an incident report b. Terminate the nurse c. Charge the erring nurse with dishonesty d. Report to the board of nursing

Situation You are assigned at the PACU

6. Which nursing diagnosis has priority among clients in PACU? a. Acute pain related to discomfort of wound and immobility b. Body image disturbance due to wound dressing and drains c. Ineffective airway clearance related to general anesthesia d. Knowledge deficit related to lack of information because patients are sedated

7. Which of the following clients in PACU demonstrate the effectiveness of the nurse teaching? a. The client demonstrate deep breathing, coughing, splinting and leg exercise b. The client manifest normal temperature c. The client sleeps well
d. The client has good balance and I and O

8. Which of the following remark indicates that the clients relative understood the discharge instructions for wound care? a. If the wound is painful, I would say that it is normal b. It is alright to use adhesive tape over the wound to keep it intact c. It is okay for his pet to remain at his bedside to keep him company d. I will report any redness or swelling of the wound

9. You must transfer out a post-op client to her room. What instructions to the family should you include to avoid accident? a.Report when the IV infusion is almost finished b.Test the call system if functioning c.Keep the room lights on for 24 hours d.Make sure the side rails are up

10. One of your post-op patients has a temperature of 27.9 degree Celsius and was shivering. You covered him with a blanket and later took his temperature and it is now 38.9. The nursing student asked you to explain the absence of shivering even if the temperature is higher. a. The patient is no longer febrile thus he is no longer chilling b.Shivering normally disappears as temperatures becomes higher c. The body has reached its new set point thus the absence of shivering d.The patient is feeling better

Situation Patients with chest tube can be very challenging to new nurses.

11. The chest tube drainage system of Tirso has continuous bubbling in the water seal drainage. After an hour, you noticed that the bubbling stops. Which of the following condition is the possible cause of malfunctioning sealed drainage? a.A suction being too high b.An air leak c.A tube being too small d.A tension pneumothorax

12. While you were making your endorsement, you found out that the chest tube of a client was disconnected. What would be your appropriate action? a.Assist the client back to his bed and place him on the affected side b.Cover the end of the chest tube with sterile gauze c.Reconnect the tube to the chest tube system d.Put the end of the chest tube to the cup of sterile NSS

13. Dr. Reyes asked you to assist him with the removal of Tirsos chest tube. You would instruct the client to: a.Continuously breathe normally during the removal of the chest tube b.Take a deep breath, exhale and bear down c.Exhale upon actual removal of the tube d.Hold breath until the chest tube is pulled out

14. Chest tube diameter is measured is expressed in: a. French b. Gauge c. Millimetres d. Inches

15. When transporting client with a chest tube, the system should be: a.Disconnected b.Closed c.Placed lower than the patients chest

Situation The preoperative nurse collaborates with the clients significant others and healthcare providers.

16. To control environmental hazards in the OR, the nurse collaborates with the following departments EXCEPT: a. Biomedical division b. DOH c. Infection control committee d. DILG

17. Waste disposal poses a big problem for the hospital. Biological wastes disposal should be coordinated with the following agencies except: a. Crematorium b. DOH c. MMDA d. DILG

18. Tess, the PACU nurse, discovered that Malou, who weighs 110 lbs prior to surgery is in severe pain 8 hours after cholecystectomy. Upon checking the chart ,Tess found out that Malou has an order of Demerol 100 mg prn for pain. Tess should verify the order with: a.Nurse supervisor b.Anaesthesiologist c.Surgeon d.Intern on duty

19. Rose, 57, who is diabetic is for debridement of incision wound. When the circulating nurse checked the present IV fluid, she found out that there is no insulin incorporated as ordered. What should the circulating nurse do? a. Double check the doctors order and call the attending MD b.Communicate with the ward nurse to verify if insulin was incorporated or not c. Communicate with the client to verify if insulin was incorporated d.Incorporate insulin as ordered

20. The documentation of all nursing activities performed is legally and professionally vital. Which of the following should not be included in the patients chart? a. Presence of prosthetic devices such as dentures, artificial limbs, hearing aids,etc b. Baseline physical, emotional and psychological data c. Arguments between nurses and residents regarding treatment d. Observed untoward signs and symptoms and interventions including contaminant intervening factors

Situation Technology and patient s education has dramatically improved the management of diabetic clients.

21. the current insulin pumps available in the market have the following capabilities, except: a. prevent unexpected saving in blood glucose measurement b.detect sign and symptoms of hypoglycaemia and hypercalcemia c. deliver a pre-meal bolus dose of insulin before each meal d.deliver a continuous basal rate of insulin at 0.5 units to 2 units per hour

22. discharge plan of diabetic clients include injection site rotation. You should emphasize that the space between sites should be: a. 6 cm b. 5 cm c. 2.5 cm d. 4 cm

23. it is also critical that a diabetic client should be educated in the possible sites of regular insulin injection. The fastest absorption rate happens at the tissue areas of: a.gluteal area b.deltoid area c.anterior area d.abdominal area

24. self-monitoring of blood glucose is recommended for patients used. You will recommend this technology to diabetic clients except: a.a client with proliferative retinopathy b.unstable diabetes c.hypoglycaemia without warning d.abdominal renal glucose threshold

25. it is necessary for diabetic clients to exercise regularly. What is the effect of regular exercise to a diabetic client? a.It burns excess glucose b.It improves insulin utilization and lowers blood glucose c.It lowers glucose, improves insulin utilization decreases total triglyceride level d.It will fit and energized

26. Following a fracture of the forearm or tibia, complaints of sharp, deep, unrelenting pain in the hand or foot unrelieved by analgesics or elevation of the extremity indicate which complication? a. cast syndrome b. compartment syndrome c. gangrene d. fat embolism

27. Another worthy study is the compliance to the principles of aseptic technique among the sterile OR team. Who does NOT belong to the sterile OR team? a. scrub nurse c. x-ray technician b. assistant surgeon d. surgeon

28. Circulation must be restored within 4 minutes of cardiopulmonary arrest because: a. the lungs fill with fluid b. the blood begins to coagulate c. brain cells begin to die d. irreversible kidney failure develops

29. Benny elaborated on the concept of informed consent. He determines that the nurses need more explanation if their response is one of the following: a. the consent should provide a description of alternative treatments or procedures b. the consent should offer a thorough explanation of the procedures to be done and the consequences of it. c. the consent should include the medical diagnosis and explanation of the patient s condition d. the consent should describe the prognosis if the recommended care is refused.

30. Which of the assessment findings would indicate a need for possible glaucoma testing? a. intermittent loss of vision c. halos around lights b. presence of floaters d. pruritus and erythema of the conjunctiva

31. The diabetic patient asks for a snack and something to drink. The MOST appropriate choice for this client to meet nutritional needs would be which of the following: a. crackers with cheese and tea b. toast with peanut butter and cocoa c. vanilla wafers and coffee with cream d. graham crackers and warm milk

32. The patient demonstrates knowledge of the psychological response to the operation and other invasive procedure when she asks about:
a. Who will be with me in the OR? b. How is the post operative pain over the site like? c. Will I be naked during the operation? d. Is it cold inside the OR?

33. In teaching the mother the proper administration of tetracycline eye ointment, which of the following is MOST crucial?
a. squirt a small amount on the inside of the infected eye s lower lid b. use clean, wet cloth to gently wipe away the pus c. wash hands before medication administration d. do not use other eye ointments or drops or put anything else in eyes.

34. The primary goal of nursing interventions after a craniotomy is: a. avoiding need for secondary surgery b. ensuring patient comfort c. preventing increased intracranial pressure d. prevention of infection

35. Mr. Salvo, a 35 year old male, has been admitted with the diagnosis of peptic ulcers. The nurse recognizes which drugs as those MOST commonly used in these patients to decrease acid secretions? a. erythromycin and flagyl b. Tagamet and zantac c. Maalox and kayexalate d. Dyazide and carafate

36. When reading the urinalysis report, the nurse recognizes this result as abnormal: a. red blood cells 15-20 c. Glucose negative b. turbid d. ph 6.0

37. Mr. Hizon has had cataract surgery. Discharge teaching would include: a. wearing eye patches for the first 72 hours b. bending at the waist acceptable if done slowly c. bending at the knees and keeping the head straight d. lifting light objects is acceptable

38. Endoscopic minimally invasive surgery has evolved from diagnostic modality to a widespread surgical technique. What department should the nurse collaborate which is unusual in conventional surgery? a. engineering department c. Blood bank services b. x-ray department d. linen section

39. When the client is discharged from the hospital and is not capable of doing the needed care services, the following can assume the role, EXCEPT: a. family members c. significant others b. chaplain d. responsible caregiver

40. R.N. denotes that a nurse: a. has satisfactorily completed with the requirements to practice nursing as set by the state. b. has a baccalaureate degree in nursing c. is professionally ready to practice nursing d. just a title

Situation 7 - Joint Commission on Accreditation of Hospital Organization (JCAHP) patient safety goals and requirements include the care and efficient use of technology in the OR arid elsewhere in the healthcare facility.

41. As the head nurse in the OR, how can you improve the effectiveness of clinical alarm systems? a. limit suppliers to a few so that quality is maintained b. implement a regular inventory of supplies and equipment c. Adherence to manufacturer's recommendation d. Implement a regular maintenance and testing of alarm systems

42. Over dosage of medication or anesthetic can happen even with the aid of technology like infusion pump, sphymomanometer, and similar devices/machines. As a staff, how can you improve the safety of using infusion pumps?

a. Check the functionality of the pump before use b. Select your brand of infusion pump like you do with your cellphone C. Allow the technician to set the; infusion pump before use d. Verify the flow rate against your computation

43. JCAHOs universal protocol for surgical and invasive procedures to prevent wrong site, wrong person, and wrong procedures/surgery includes the following EXCEPT:
a. Mark the operative site if possible b. Conduct pre-procedure verification process c. Take a video of the entire intra-operative procedure d. Conduct time out immediately before starting the procedure

44. You identified a potential risk of pre and post operative clients. To reduce the risk of patient harm resulting from fall, you can implement the following EXCEPT: a. Assess potential risk of fail associated with the patient's the following EXCEPT: medication regimen b. Take action to address any identified risks through Incident Report (IR) c. Allow client to walk with relative to the OF? d. Assess and periodically reassess individual client's risk for falling

45. As a nurse you know you can improve on accuracy of patient's identification by 2 patient identifiers, EXCEPT:
a. identify the client by his/her wrist tag and verify with family members b. identify client by his/her wrist tag and call his/her by name c. call the client by his/her case and bed number d. call the patient by his/her name and bed number

Situation 8 - Team efforts is best demonstrated in the OR

46. If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?
a. Who is your internist b. Who is your assistant and anesthesiologist, and what is your preferred time and type of surgery? c. Who are your anesthesiologist, internist, and assistant d. Who is your anesthesiologist.

47. In the OR, the nursing tandem for every surgery is: a. Instrument technician and circulating nurse b. Nurse anesthetist, nurse assistant, and instrument technician c. Scrub nurse and nurse anesthetist d. Scrub and circulating nurses

48. While team effort is needed in the OR for efficient and quality patient care delivery, we should limit the number of people in the room for infection control. Who comprise this team? a. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly b. Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist c. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist d. Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse

49. When surgery is on-going, who coordinates the activities outside, including the family? a. Orderly/clerk b. Nurse supervisor c. Circulating nurse d. Anaesthesiologist

50. The breakdown in teamwork is often times a failure in: a. Electricity b. Inadequate supply c. Leg work d. Communication

Situation 9 - Colostomy is a surgically created anus- It can be temporary or permanent, depending on the disease condition.

51. Skin care around the stoma is critical. Which of the following is not indicated as a skin care barriers? a. Apply liberal amount of mineral oil to the area b. Use karaya paste and rings around the stoma c. Clean the area daily with soap and water before applying bag d. Apply talcum powder twice a day

52. What health instruction will enhance regulation of a colostomy (defecation) of clients? a. Irrigate after lunch everyday b. Eat fruits and vegetables in all three meals c. Eat balanced meals at regular intervals d. Restrict exercise to walking only

53. After ileostomy, which of the following condition is NOT expected? a. increased weight b. Irritation of skin around the stoma c. Liquid stool d. Establishment of regular bowel movement

54. The following are appropriate nursing interventions during colostomy irrigation EXCEPT:
a. Increase the irrigating solution flow rate when abdominal cramps is felt b. Insert 2-4 inches of an adequately lubricated catheter to the stoma c. Position client in semi-Fowler d. Hand the solution 18 inches above the stoma

55. What sensation is used as a gauge so that patients with ileostomy can determine how often their pouch should be drained? a. Sensation of taste b. Sensation of pressure c. Sensation of smell d. Urge to defecate

Situation 12 - As a nurse, you should be aware and prepared of the different roles you play.

56. What role do you play, when you hold all clients information entrusted to you in the strictest confidence? a. Patient's advocate b. Educator c. Patient's Liaison d. Patient's arbiter

57. As a nurse, you can help improve the effectiveness of communication among healthcare givers a. Use of reminders of what to do b. Using standardized list of abbreviations, acronyms, and symbols c. One-on-one oral endorsement d. Text messaging and e-mail

58. As a nurse, your primary focus in the workplace is the client's safety. However, personal safety is also a concern. You can communicate hazards to your co-workers through the use of the following EXCEPT:

a. Formal training b. Posters c. Posting IR in the bulletin board d. Use of labels and signs

59. As a nurse, what is one of the best way to reconcile medications across the continuum of care?
a. Endorse on a case-to-case basis b. Communication a complete list of the patient's medication to the next provider of service c. Endorse in writing d. Endorse the routine and 'stat' medications every shift

60. As a nurse, you protect yourself and co-workers from misinformation and misrepresentations through the following EXCEPT:
a. Provide information to clients about a variety of services that can help alleviate the client's pain and other conditions b. Advising the client, by virtue of your expertise, that which can contribute to the client's well-being c. Health education among clients and significant others regarding the use of chemical disinfectant d. Endorsement thru trimedia to advertise your favorite disinfectant solution

Situation 14 - You were on duty at the medical ward when Zeny came in for admission for tiredness, cold intolerance, constipation, and weight gain. Upon examination, the doctor's diagnosis was hypothyroidism.

61. Your independent nursing care for hypothyroidism includes: a. administer sedative round the clock b. administer thyroid hormone replacement c. providing a cool, quiet, and comfortable environment d. encourage to drink 6-8 glasses of water

62. As the nurse, you should anticipate to administer which of the following medications to Zeny who is diagnosed to be suffering from hypothyroidism? a. Levothyroxine b. Lidocaine c. Lipitor d. Levophed

63. Your appropriate nursing diagnosis for Zeny who is suffering from hypothyroidism would probably include which of the following?
a. Activity intolerance related to tiredness associated with disorder b. Risk to injury related to incomplete eyelid closure c. Imbalance nutrition related to hypermetabolism d. Deficient fluid volume related to diarrhea

64. Myxedema coma is a life threatening complication of long standing and untreated hypothyroidism with one of the following characteristics. a. Hyperglycemia b. hypothermia c. hyperthermia d. hypoglycemia

65. As a nurse, you know that the most common type of goiter is related to a deficiency a. thyroxine b. thyrotropin c. iron d. iodine

Situation Mr. Santos, 50, is to undergo cystoscopy due to multiple problems like scanty urination.

66. You are the nurse incharge of Mr. Santos. When asked what are the organs to be examined during cystoscopy, you will enumerate as follows: a. urethra, kidney , bladder b. urethra, bladder wall trigone, urethral opening c. bladder wall, uterine wall, and urethral opening d. urethral opening and bladder

67. In the OR, you will position Mr. Santos who is for cystoscopy in : a. supine b. lithotomy c. semi-fowlers d. Trendelenburg

68. After cystoscopy, Mr. Santos asked you to explain why there is no incision of any kind. What do you tell him?
a. cystoscopy is direct visualization and examination by urologist b. cystoscopy is done by x-ray visualization of the urinary tract c. cystoscopy is done by using lasers in the urinary tract d. cystoscopy is an endoscopic procedure of the urinary tract

69. Within 24-48 hrs after hours postcystoscopy, it is normal to observe one of the following: a) pink tinged urine b) distended bladder c) signs of infection d) prolonged hematuria

70. leg cramps are not uncommon post cystoscopy. Nursing interventions includes: a. bed rest b. warm moist soak c. early ambulation d. hot sitz bath

Situation A specimen is a piece of tissue or body fluid taken from the diseased body organ or tissue to aid the health care team in diagnosis and effective treatment.

71. Carmen is suspected to have left breast CA. She is scheduled in your room on 5 for frozen section. How will you prepare the specimen for laboratory?
a)Refrigerate and send it along with the days specimen b)Send to pathology immediately without soaking solution c)Send it in NSS d)Soak it in formalin

72. How will you label this specimen ? what information is essential in the label? a. name of the client, age, sex, hospital number b. name of the client, age, sex c. name, age site, type of specimen, hospital number, doctor d. name, doctor, type of specimen, hospital number

73. Foreign body extracted from the body like pins, needles, seeds or bullets are also considered as specimen. You assisted in the multiple gunshot wound exploration. The specimen obtained during the surgery should be sent to:
a.The department of pathology b.The national Bureau of investigation c.The OR head nurse d.Clients family

74. A post dilation and curettage client is for discharge. Follow-up lab result should be part of the discharge plan. You will instruct client to follow up result at the : a)Medical records b)Laboratory c)Doctors clinic d)Nurses station

75. are the circulating nurse in OR 2. You have 4 thyroidectomy cases for the day. How do you prevent switching of specimens?
a) send specimens to laboratory right away after the operation with the proper labels b) collect all specimens and send to laboratory at the end of the day c) label specimen at once d) prepare for specimen vials first thing in the morning

76. Ms. F.X.. has been admitted with right upper quadrant pain and has been placed on a low fat diet. Which of the following trays would be acceptable for her? a. liver, fried potatoes and avocado b. whole milk, rice and pastry c. ham, mashed potatoes, cream peas d. skim milk, lean fish, tapioca pudding

77. Negligence in the practice of nursing can be a ground for: a. revocation of license by the Ombudsman b. revocation of license by the BON c. revocation of license by the DOH revocation of license by the Nursing Department

78. One way of verifying that the right message/doctor s order was communicated effectively is by: a. phrasing intelligently b. repeating the order message c. documenting d. speaking distinctly using enough volume

79. Maria is administering a cleansing enema to a patient with fecal impaction. Before administering the enema, she should place the patient in which of the following positions? a. on the right side of the body with the head of the bed elevated 45 degrees b. left Sim s position c. on the left side of the body with the head of the bed elevated 45 degree d. right Sim s position

80. The functionality and integrity of instruments and medical devices used in surgical procedure, is the responsibility of the: a. surgeon c. OR nurse b. bio-med technician d. scrub nurse

81. Maria will be preparing a patient for thoracentesis. She should assist the patient to which of the following positions for the procedure?
a. prone with the head turned to the side and supported by a pillow b. lying in bed on the affected side with the head of the bed elevated 45 degrees c. Sim s position with the head of the bed flat d. Lying in bed on the unaffected side with the head of the bed elevated 45 degrees

82. When a patient comes to the clinic for an eye examination, the ophthalmologists administers phenylephrine 2.5% drops to: a. dilate retinal blood vessels b. anesthetize the cornea c. dilate the pupil d. removed any obstruction on the cornea

83. Which of the following statements by Ms. S.O. a chemotherapy patient with a low WBC count, a low platelet count and a hemoglobin measurement of 5.6 g would indicate the need for further teaching?
a. My lips are dry an d cracking. I need some lubricant b. My husband and I have been using vaginal lubrication before my intercourse c. I check my mouth and teeth after each meal d. I ve been very constipated and need an enema

84. Patients undergoing surgery display different levels of anxiety. This is researchable. At present, it has been found out that music can decreases anxiety. What other factors can reduce anxiety that is currently done among postoperative cases? a. pre-anesthetic drugs c. shower prior to surgery b. pre-operative visit d. presence of any members of the family

85. a heavily researched topic in infection control is about the single most important procedure for preventing hospital acquired infections. What is the procedure called? a. handwashing b. use of scrub suit c. use of facemask d. brain washing

86. a most critical strategy in nursing communication is: a. non-verbal communication b. giving stereotyped comments c. verbal communications d. active listening

87. Mr. Tan has undergone surgery for lyses of adhesions. He is transferred from the post anesthesia care unit to the surgical floor. The nurse should obtain blood pressure, pulse and respiration every: a. 3 minutes b. 30 minutes c. 15 minutes d. 20 minutes

88. Mr. KAG GED age 13, diagnosed with chronic bronchitis. He is very dyspnoeic and must sit up to breath. An abnormal condition in which there is discomfort in breathing in any bed or sitting position is: A. cheyne stokes b. orthopnea c. eupnea d. dyspnea

89. the nurse recognizes that the most common causative organism is pyelonephritis is: a. E. Coli b. Klebsiella c. candida albicans d. pseudomonas

90. Mr. Wat Tee is cleaning the garage and accidentally splashed a chemical into his eyes. The initial priority care following the chemical burn is to; a,. Irrigate with normal saline for 1-15 minutes b. transport to a physician immediately c. employ in a private hospital d. send to a medical mission where services are free

91. Licensed nurses from foreign countries can practice nursing in the Philippines with the following condition: a. employed in state colleges and universities b. special projects with hospitals with a fixed fee c. employees by private hospitals d. medical mission whose services are free

92. a patient diagnosed with breast cancer has been offered the treatment choice of conservative surgery with radiation or a modified radical mastectomy . when questioned by the patient about these options , the nurse inform the patient that lumpectomy with radiation: a. reduces the fear and anxiety that accompany the diagnosis and treatment of cancer b. has about the same 10 year survival rate as the MRM c. provides a shorter treatment period with a fewer long term complications d. preserves the normal appearance and sensitivity of the breast

93. the patient has a right to information regarding the operation or other invasive procedures and potential effects. This right is achieved through: a. informed consent b. preoperative visit c. charting d. doctor s order

94. which statement about a person s character is evident in the OR team? a. it assists in the control of feelings thoughts, emotions in the face of difficulty b. it reflects the moral values and beliefs that are used as guides to personal behaviour actions c. it encourages the constructive use of pleasure of the sense d. it refers to the quality of being righteous, correct, fair and impartial

95. Mrs. Bon E underwent D&C for dysfunctional bleeding. What is inserted vaginally to prevent postoperative bleeding/ a. perinea pad b. vaginal packing c. Vaginal suppository d. gel foam

Situation 15 - Mrs. Pichay is admitted to your ward. The MD ordered "Prepared for thoracentesis this pm to remove excess air from the pleural cavity."

96. Which of the following nursing responsibility is essential in Mrs. Pichay who will undergo thoracentesis?
a. Support, and reassure client during the procedure b. Ensure that informed consent has been signed c. Determine if client has allergic reaction to local anesthesia d. Ascertain if chest x-rays and other tests have been prescribed and completed

97. Mrs. Pichay who is for thoracentesis is assisted by the nurse to any of the following positions, EXCEPT: a. straddling a chair with arms and head resting on the back of the chair b. lying on the unaffected side with the bed elevated 30-40 degrees c. lying prone with the head of the bed lowered 15-30 degrees d. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table

98. During thoracentesis, which of the following nursing intervention will be most crucial? a. Place patient in a quiet and cool room b. Maintain strict aseptic technique c. Advice patient to sit perfectly still during needle insertion until it has been withdrawn from the chest d. Apply pressure over the puncture site as soon as the needle is withdrawn

99. To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis? a. Place flat in bed b. Turn on the unaffected side c. Turn on the affected side d. On bed rest

100. Chest x-ray was ordered after thoracentesis. When you client asks what is the reason for another chest x-ray, you will explain: a. to rule out pneumothorax b. to rule out any possible perforation c. to decongest d. to rule out any foreign: body