Adv. Med/Surg Final Review

A client with a diagnosis of acquired immunodeficiency syndrome (AIDS) receives pentamidine for a protozoal infection. The nurse will monitor the client for which common side effect? Select all that apply. Leukocytosis Hypokalemia Hypoglycemia Increased serum calcium Decreased blood pressure Oliguria Sore throat Fever

Hypoglycemia Decreased blood pressure Oliguria Sore throat

The nurse reviews the electronic health record of a client. The nurse suspects hypofunctioning of the adrenal gland based on which finding? Select all that apply. Increased calcium Decreased cortisol Weight loss Decreased sodium Vitiligo Decreased potassium Increased glucose Hyperpigmentation

Increased calcium Decreased cortisol Weight loss Decreased sodium Vitiligo Hyperpigmentation

The nurse obtains a health history from a client who is admitted with the diagnosis of acute lymphocytic leukemia (ALL). Which problem would the nurse expect the client to report? Select all that apply. Loss of appetite Sores in the mouth Paleness of the skin Hyperactivity Inability to fall asleep Purplish spots on the skin Night sweats Weight loss

Loss of appetite Paleness of the skin Purplish spots on the skin Night sweats Weight loss

The nurse is providing instructions about foot care for a client with diabetes mellitus. Which teaching point would the nurse include in the instructions? Select all that apply. Wear shoes when out of bed Soak the feet in warm water daily Dry between the toes after bathing Remove corns as soon as they appear Trim toenails in a rounded shape with clippers Use a heating pad when the feet feel cold Perform foot inspection weekly Do not smoke or use nicotine products

Wear shoes when out of bed Dry between the toes after bathing Do not smoke or use nicotine products

A 24-hour urine specimen to assess the presence of vanillylmandelic acid (VMA) is ordered to assist in confirmation of the diagnosis of a pheochromocytoma. Which information would the nurse include in the teaching plan regarding this test? Select all that apply. The client may take chlorpromazine during the test. Encourage the client to engage in usual activities while testing. Only salicylates can be taken for discomfort during the test. All urine excreted over the 24-hour period must be saved and refrigerated. Avoid chocolate and citrus fruit for 3 days before and during the test. Fluids can include coffee and tea but avoid colored drinks and sodas. The client should avoid skipping meals while testing. The use of monoamine oxidase (MAO) inhibitors should be reported before testing.

All urine excreted over the 24-hour period must be saved and refrigerated. Avoid chocolate and citrus fruit for 3 days before and during the test. The client should avoid skipping meals while testing. The use of monoamine oxidase (MAO) inhibitors should be reported before testing.

Which clinical manifestations will the nurse expect when caring for a client with a diagnosis of pulmonary edema? Select all that apply. Crackles Coughing Orthopnea Yellow sputum Anxiety Dependent edema Restlessness Lethargy

Coughing Orthopnea Anxiety Restlessness Lethargy

A client is admitted with the diagnosis of acute pancreatitis. Which clinical manifestation would the nurse associate with this diagnosis? Select all that apply. Cyanosis Acute pain Vomiting Weight loss Decreased lipase Hypertension Hypoglycemia Increased amylase

Acute pain Vomiting Weight loss Increased amylase

Which action will the nurse take when caring for a client with a chest tube in place after a thoracotomy? Select all that apply. Administer prescribed analgesic medications Check around chest tube insertion site for crepitus Clamp the chest tube before the client ambulates Add fluid to the suction control chamber as needed Offer a high-potassium diet Check for air bubbling in the water-seal chamber Use a stripping action to milk the tubing Report tidaling of water in chamber two

Administer prescribed analgesic medications Check around chest tube insertion site for crepitus Add fluid to the suction control chamber as needed Check for air bubbling in the water-seal chamber

Which clinical manifestation would the nurse expect when assessing a 4-year-old child with newly diagnosed acute lymphocytic leukemia (ALL)? Select all that apply. Edema Alopecia Anorexia Insomnia Petechiae Ecchymoses Lethargy Pallor

Anorexia Petechiae Ecchymoses Lethargy Pallor

A client who has recently moved to the country attends the prenatal clinic at 30 weeks gestation for the first time. Although she states that she has had immunizations, she does not know which ones. Which immunization would the nurse recommend? Select the 3 correct immunizations. Measles, Mumps, and Rubella (MMR) Influenza Tetanus, Diphtheria, Pertussis (TDAP) Hepatitis B Shingles Varicella

Influenza Tetanus, Diphtheria, Pertussis (TDAP) Hepatitis B

The nurse suspects stage I seminoma in a client with Klinefelter syndrome. Which diagnostic test would be helpful in further evaluating the mass? Select all that apply. Ultrasonography Alpha fetoprotein Prostate specific antigen (PSA) Computed tomography of the chest Lactase dehydrogenase Beta human chorionic gonadotrophin MRI of the brain Urinalysis

Ultrasonography Alpha fetoprotein Lactase dehydrogenase Beta human chorionic gonadotrophin

The nurse is teaching a client who has decreased production of estrogen because of menopause about self-management and prevention of complications. Which action performed by the client would help reduce the complications? Select all that apply. Walking for 30 minutes per day Performing weight-bearing activities Using a vaginal moisturizer Dressing warmly in cool or cold weather Urinating immediately after sexual intercourse Keeping within 10 pounds of ideal body weight Using a lubricant during sexual intercourse Monitoring for yeast infections

Walking for 30 minutes per day Performing weight-bearing activities Using a vaginal moisturizer Urinating immediately after sexual intercourse Using a lubricant during sexual intercourse Monitoring for yeast infections

Which physiological response would the nurse expect when assessing a client with hyperthyroidism? Select all that apply. Bradycardia Blurred vision Cold intolerance Tremors Insomnia Increased appetite Widened pulse pressure Diaphoresis

Blurred vision Tremors Insomnia Increased appetite Widened pulse pressure Diaphoresis

Which factor would the nurse identify as increasing the risk of human immunodeficiency virus (HIV) transmission? Select all that apply. Childbirth Monogamy Breast-feeding Anal sex Needle sharing Shared plates and cups Oral sexual contact Common toilet facilities

Childbirth Breast-feeding Anal sex Needle sharing Oral sexual contact

Which finding would the nurse expect when taking the health history and assessing a client with active pulmonary tuberculosis? Select all that apply. Fever Dry cough Night sweats Frothy sputum Engorged neck veins Blood-tinged sputum Anorexia Hyperexcitability

Fever Night sweats Blood-tinged sputum Anorexia

Which physical assessment finding would the nurse document on a client who is experiencing Cushing triad? Select all that apply. Bradycardia Decreased LOC Tachycardia Irregular respirations Systolic hypertension Diastolic hypertension Asymmetric pupils Widening pulse pressure

Bradycardia Irregular respirations Systolic hypertension Widening pulse pressure

A client is scheduled for a barium swallow. How would the nurse prepare the client for the test? Select all that apply. Ask about allergies to iodine before the procedure. Clarify procedural questions before the consent is signed. Administer cleansing enemas before the test. Suggest a light breakfast on the day of the procedure. Ensure that a laxative is prescribed after the test. Instruct to withhold prescribed opioids for 1 day before the test. Assess the client's ability to swallow. Ensure the bowel is adequately cleansed.

Clarify procedural questions before the consent is signed. Ensure that a laxative is prescribed after the test. Instruct to withhold prescribed opioids for 1 day before the test. Assess the client's ability to swallow.

After initiating antibiotic therapy on a client with syphilis, the nurse suspects a Jarisch-Herxheimer reaction (JHR). Which clinical manifestation supports the nurse's suspicion? Select all that apply. Fever with shaking chills Hypotension Vasodilation Generalized aches Soreness at the injection site Bradycardia Hypoventilation Worsening of skin rash

Fever with shaking chills Generalized aches Worsening of skin rash

Which clinical manifestation would the nurse expect to identify in a client experiencing spinal shock immediately after sustaining a functional transection of the spinal cord at T7-T8? Select all that apply. Severe throbbing headache Blurred vision Spasticity Incontinence Flaccid paralysis Respiratory failure Sudden increase in blood pressure Lack of reflexes below the injury

Flaccid paralysis Lack of reflexes below the injury

An older adult in the hospital has an order for strict bed rest. The client has an increased risk for which complication? Select all that apply. Friction injury Atelectasis Diarrhea Pressure injuries Urinary tract infection Contractures Muscle loss Shearing damage

Friction injury Atelectasis Pressure injuries Urinary tract infection Contractures Muscle loss Shearing damage

Which clinical finding would the nurse expect in a pediatric client diagnosed with acute poststreptococcal glomerulonephritis? Select all that apply. Hematuria Proteinuria Periorbital edema Decreased specific gravity Mildly elevated blood pressure Decreased skin turgor Bladder distention Urethra inflammation

Hematuria Proteinuria Periorbital edema Mildly elevated blood pressure

A 3-year-old child with sickle cell disease (SCD) is admitted with a vasoocclusive crisis (VOC or a pain episode). Which intervention is the priority nursing concern? Select all that apply. Dietary education Support group referral Hydration Genetic counseling Pain management Prevention of infection Oxygen supplementation Parental education

Hydration Pain management Oxygen supplementation

Which clinical manifestation would the nurse expect to assess in the client diagnosed with Alzheimer disease? Select all that apply. Loss of recent memory Focused attention span Perceptual disturbances Agnosia Willingness to accept change Enhanced sense of smell Difficulty learning something new Visuospatial deficits

Loss of recent memory Perceptual disturbances Agnosia Difficulty learning something new Visuospatial deficits

pills containing iron is being assessed. Which symptom would the nurse recognize as indicating that the poisoning has progressed to stage IV? Select all that apply. Jaundice Hypoglycemia Hematochezia Pyloric stenosis Confusion Duodenal obstruction Metabolic acidosis Sluggishness

Jaundice Hypoglycemia Confusion Sluggishness

A client has undergone a genitourinary reconstruction surgery. Which assessment finding by the nurse supports a suspicion of impending shock? Select all that apply. Oliguria Lethargy Decreased thirst Irritability Increased specific gravity Distended neck veins Hypotension Slurred speech

Oliguria Irritability Increased specific gravity Hypotension

The nurse is obtaining a health history from the parents of a toddler who has been receiving chemotherapeutic treatment of acute lymphocytic leukemia (ALL). Which physiologic change would the nurse associate with the treatment? Select all that apply. Pale skin Loss of hair Night sweats Vomiting Mucositis Swollen lymph nodes Bone pain Enlarged liver

Pale skin Loss of hair Vomiting Mucositis

Which finding would the nurse expect when assessing a client with peripheral arterial disease (PAD)? Select all that apply. Pallor of feet Warm extremities Ulcers on the toes Delayed Cap refill Thick, Hardened skin Hair loss to lower extremities Muscle Atrophy Intermittent claudication

Pallor of feet Ulcers on the toes Delayed Cap refill Hair loss to lower extremities Muscle atrophy Intermittent claudication

When assessing a client with varicose veins, which clinical manifestation would the nurse expect to find? Select all that apply. Presence of ankle edema Increased leg fatigue Diminished peripheral pulses Report of leg fullness and pruritus Leg pain with activity that resolves with rest No hair on lower extremities Thickened toenails Pallor to bilateral lower extremities

Presence of ankle edema Increased leg fatigue Report of leg fullness and pruritus

Which action will the nurse take after noticing bibasilar crackles in a client who had an open cholecystectomy on the previous day? Select all that apply. Perform frequent breath sounds assessment Encourage regular turning and coughing Teach the importance of frequent deep breathing Reduce the amount of fluid taken by mouth Ensure a high-potassium diet is provided Provide a folded blanket to assist with splinting Ask the health care provider to order a chest x-ray Educate the client on the use of incentive spirometry (IS)

Perform frequent breath sounds assessment Encourage regular turning and coughing Teach the importance of frequent deep breathing Educate the client on the use of incentive spirometry (IS)

Which finding indicates that a client is at an increased risk for colorectal cancer (CRC)? Select all that apply. Presence of dark, tarry stools Family history of polyposis 20-year history of ulcerative colitis Use of caffeine or coffee Unintentional 20-pound weight loss Change in bowel pattern for 3 months Long-term use of NSAIDS such as ibuprofen Bacterial infection with H. pylori

Presence of dark, tarry stools Family history of polyposis 20-year history of ulcerative colitis Unintentional 20-pound weight loss Change in bowel pattern for 3 months

Which clinical manifestation would the nurse expect to find when assessing a client with Parkinson disease? Select all that apply. Resting tremors Pill-rolling Unblinking eyes Flattened affect Muscle flaccidity Tonic-clonic seizures Slow voluntary movements Loss of balance

Resting tremors Pill-rolling Unblinking eyes Flattened affect Slow voluntary movements Loss of balance

Which neurovascular assessment would the nurse plan to perform immediately after a client has rotator cuff surgery? Select all that apply. Pulse rate Skin color Disproportionate pain Level of orientation Presence of edema Movement of the hand Sensations in the extremity Breathing pattern

Skin color Disproportionate pain Presence of edema Movement of the hand Sensations in the extremity

Which test would the nurse use to assess a client's cortical sensory function? Select all that apply. Stereognosis Romberg test Graphesthesia Finger-to-nose test Glasgow Coma Scale Pseudoathetosis Two-point discrimination Extinction

Stereognosis Graphesthesia Two-point discrimination Extinction

Which action will the nurse include when doing tracheostomy care? Select all that apply. One, some, or all responses may be correct. Provide oxygen via nasal cannula during suctioning Use sterile technique when cleaning the inner cannula Use sterile cotton-tipped swabs to clean the inner cannula Don sterile gloves before removing the inner cannula Use hydrogen peroxide to clean the skin around the stoma Cut a 4x4 gauze pad to utilize as a drain sponge if necessary Dry the inside of the inner cannula completely Ensure the non-dominant hand remains sterile

Use sterile technique when cleaning the inner cannula Don sterile gloves before removing the inner cannula Dry the inside of the inner cannula completely

A client is receiving furosemide to relieve edema. The nurse will monitor the client for which expected response? Select all that apply. Weight loss Impaired glucose tolerance Narrowed pulse pressure Increased urine specific gravity Excessive loss of potassium ions Pronounced retention of sodium ions Puffiness in the feet Decreased calcium levels

Weight loss Impaired glucose tolerance Narrowed pulse pressure Excessive loss of potassium ions Decreased calcium levels

Which clinical manifestation of acute myelogenous (nonlymphoid) leukemia (AML) would the nurse expect when assessing a child? Select all that apply. Anorexia Petechiae Irritability Fatigue Skin redness Weight gain Listlessness Neuropathic pain

Anorexia Petechiae Irritability Fatigue Listlessness

Which information would the nurse provide to decrease the incidence of further infections in a 17-year-old female who has experienced multiple non-sexually transmitted genitourinary infections? Select all that apply. Dry off after swimming Select cotton underwear Ensure douching once weekly Wear loose-fitting clothes Avoid taking bubble baths Refrain from scented toilet tissue Drink fluids up to 3 liters a day Clean perineum from back to front

Dry off after swimming Select cotton underwear Wear loose-fitting clothes Avoid taking bubble baths Refrain from scented toilet tissue Drink fluids up to 3 liters a day

A client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving chemotherapy. Which assessment finding would alert the nurse to the possible development of thrombocytopenia? Select all that apply. Fever Diarrhea Melena Hematuria Ecchymosis Nausea Alopecia Mucositis

Melena Hematuria Ecchymosis

Which nursing action is appropriate for an adolescent girl undergoing a pelvic examination? Select all that apply. Clearly explain why the procedure is needed Encourage the discussion of safer sex practices Invite the adolescent's parent in the examination room Only conduct a pelvic exam if it is medically necessary Teach the adolescent about hygiene, body functions, and sexuality Display drawings, models, and equipment to help educate the adolescent Postpone giving details about an examination because it may arouse fear Ensure a Papanicolaou test is included for adolescents

Clearly explain why the procedure is needed Encourage the discussion of safer sex practices Only conduct a pelvic exam if it is medically necessary Teach the adolescent about hygiene, body functions, and sexuality Display drawings, models, and equipment to help educate the adolescent

When reviewing the results of a toddler's complete blood count, the nurse notes decreased hemoglobin and hematocrit levels. Which additional laboratory findings would the nurse expect in iron-deficiency anemia? Select the 3 anticipated findings. Microcytic red blood cells Hyperchromic red blood cells Low total iron-binding capacity Slightly reduced reticulocyte count Increased erythrocyte sedimentation rate (ESR) Decreased serum ferritin

Microcytic red blood cells Slightly reduced reticulocyte count Decreased serum ferritin

A client underwent surgery and developed a wound without tissue loss. While caring for the client, the nurse detects abscess formation. Which assessment made by the nurse supports the observation? Select all that apply. Necrosis of skin edges Swelling of the incision line Purulent drainage from the incision site Erythema of the incision line of more than 1 cm Localized fluctuance beneath the wound when palpated Sanguineous drainage on the first day Crusting on the incision line Partial separation of the outer wound layers

Purulent drainage from the incision site Localized fluctuance beneath the wound when palpated

The nurse provides discharge teaching to a client with acquired immunodeficiency syndrome (AIDS) and a low white blood cell (WBC) count. Which client statement indicates understanding of the content? Select all that apply. "My roommate will take care of our cat's litter box." "I will rinse my toothbrush in bleach once a week." "Each time I get a new drink I will use a different cup." "My diet will include at least one piece of fresh fruit every day." "I will walk at the mall twice a week to keep up my strength." "I will wash my hands thoroughly after shaking hands with anyone." "My temperature needs to be taken at least once a week." "Working in my garden will help me relieve stress." "I will wash my armpits and peri-area twice daily if I can't shower."

"My roommate will take care of our cat's litter box." "I will rinse my toothbrush in bleach once a week." "Each time I get a new drink I will use a different cup." "I will wash my hands thoroughly after shaking hands with anyone." "I will wash my armpits and peri-area twice daily if I can't shower."

An ambulatory client with relapsing-remitting multiple sclerosis (RRMS) is to receive every-other-day injections of interferon beta-1a. Which adverse effect would the nurse explain may occur when taking this medication? Select all that apply. Depression Polycythemia Flaccid muscles Hypotonia Flu-like symptoms Increased risk for infection Decreased perspiration Hyperactivity

Depression Flu-like symptoms Increased risk for infection

The nurse plans to help a client get out of bed for the first time following a surgery on the right humerus. Which assessment would the nurse make before having the client sit on the side of the bed? Select all that apply. Presence of safe footwear Ability to turn side-to-side Status of comfort and pain Depth of respirations Appearance of wound and skin Presence of tubes or lines Intake and output amounts Observation of walking gait

Presence of safe footwear Status of comfort and pain Appearance of wound and skin Presence of tubes or lines

A primary health care provider schedules a bone scan for a client with osteoporosis. Which nursing action is beneficial for the client? Select all that apply. Placing the client in the supine position Informing a client that a mild sedative may be used Verifying presence or absence of a shellfish allergy Instructing the client to push fluids after the test Ensuring the client does not have metal on their clothing Instructing the client to empty their bladder before the scan Informing the client that the post-procedure headache resolves in 2 days Applying a jelly-like substance to the skin over the site

Placing the client in the supine position Informing a client that a mild sedative may be used Instructing the client to push fluids after the test Instructing the client to empty their bladder before the scan

Which assessment would the nurse include when taking the health history of a toddler with an exacerbation of eczema? Select all that apply. Change in appetite Wearing polyester clothes Exposure to new foods Increased emotional stress Exposure to a viral infection Smoking in the home Recent contact with someone with eczema Use of fragrant fabric detergents

Wearing polyester clothes Exposure to new foods Increased emotional stress Smoking in the home Use of fragrant fabric detergents

After assessing a female client, the nurse suspects that the client has hyperpituitarism. Which questions asked by the nurse are relevant to the diagnosis? Select all that apply. "Is there any change in your vision?" "Do you experience severe headaches?" "Are you suffering from frequent urination?" "Have you noticed any back pain?" "Do you eat more than five times a day?" Do you experience joint pain?" Is there any change in your menstrual cycle?" Do your shoes feel tight when you put them on?"

"Is there any change in your vision?" "Do you experience severe headaches?" "Have you noticed any back pain?" Do you experience joint pain?" "Is there any change in your menstrual cycle?" "Do your shoes feel tight when you put them on?"

The nurse is taking care of a client with cirrhosis of the liver. Which clinical manifestation would the nurse associate with the client's condition? Select all that apply. Ascites Hunger Pruritus Jaundice Headache Vomiting Bruising Anorexia

Ascites Pruritus Jaundice Vomiting Bruising Anorexia

A client visited the primary health care provider complaining of inflammatory lesions on the face and is diagnosed with an inflammatory disorder of the sebaceous glands. Which medication would the nurse anticipate being prescribed for this client? Select all that apply. Bacitracin Benzoyl peroxide Mupirocin Clindamycin Erythromycin Dapsone Retinoid Metronidazole

Benzoyl peroxide Clindamycin Erythromycin Dapsone Retinoid

Which clinical manifestations does the nurse expect the client to report when admitted for surgical resection of a rectosigmoid colon cancer? Feeling tired Rectal bleeding Inability to digest fat Change in the shape of stools Feeling of abdominal bloating Stools that float Clay-colored stools Straining to pass stools

Feeling tired Rectal bleeding Change in the shape of stools Feeling of abdominal bloating Straining to pass stools

Which nursing intervention would the nurse include in the plan of care for a client after a hip replacement? Select all that apply. Place a pillow between the client's legs. Require the client to sit in an armless chair. Cross the client's legs at the ankles and knees. Require the client to use an elevated toilet seat. Keep the client's hip in a neutral, straight position. Position the client in a low chair. Keep the head of the bed at 90 degrees. Use a fracture bedpan for urinary relief.

Place a pillow between the client's legs. Require the client to use an elevated toilet seat. Keep the client's hip in a neutral, straight position. Use a fracture bedpan for urinary relief.

During a clinical assessment, which secondary sex characteristics would the nurse observe in a teenage client? Select all that apply. Change in voice Enlargement of scrotum Development of facial hair Completion of skeletal growth Reports of spermarche Thinning fat layer Growth of pubic hair Decreased sweat production

Change in voice Development of facial hair Growth of pubic hair

When educating a client with interstitial cystitis, which food would the nurse mention is a bladder irritant? Select all that apply. Milk White chocolate Citrus fruit Aged cheeses Cottage cheese Green, leafy vegetables Bananas Melons Tomatoes

Citrus fruit Aged cheeses Tomatoes

Which finding would the nurse associate with chronic osteomyelitis? Select all that apply. Elevated white blood count Presence of avascular scar tissue Decreased vitamin D levels Cold sensation at the infection site Constant bone pain relieved by rest Elevated erythrocyte sedimentation rate Significantly increased temperature Reduced levels of serum calcium

Elevated white blood count Presence of avascular scar tissue Elevated erythrocyte sedimentation rate

Which clinical finding would the nurse anticipate when assessing an adolescent with newly diagnosed acute lymphoblastic leukemia (ALL)? Select all that apply. Nausea Loose stools Fatigue Jaundice Multiple bruises Generalized edema Joint pain Weight loss

Fatigue Multiple bruises Joint pain Weight loss

A client is taught how to recognize signs of a hypoglycemic reaction. Which symptom identified by the client indicates to the nurse that the teaching was effective? Select all that apply. Fatigue Nausea Weakness Nervousness Heart pounding Increased thirst Increased perspiration Hunger Confusion

Fatigue Weakness Nervousness Heart pounding Increased perspiration Hunger Confusion

When a client with heart failure is seen in the clinic with new onset ankle edema, the nurse would question the client about which lifestyle factor that may have contributed to the ankle swelling? Select all that apply. Intake of salty foods Increased fluid consumption Dietary fat intake Medication compliance Family stresses Recent travel Alcohol intake Increased physical activity

Intake of salty foods Increased fluid consumption Medication compliance Recent travel Alcohol intake

When a client develops internal bleeding after abdominal surgery, which clinical manifestation would the nurse expect the client to exhibit? Select all that apply. Pallor Polyuria Correct Decreased mean arterial pressure (MAP) Bradypnea Correct Tachycardia Hypertension Increased pulse pressure Warm skin temperature

Pallor Decreased mean arterial pressure (MAP) Tachycardia

The nurse is caring for an adolescent who is pregnant and reports a past history of gonorrhea. Which intervention will the nurse perform during the course of perinatal care to decrease exposure to the fetus? Select all that apply. Administer Penicillin G intramuscular Screen at 36 weeks' gestation Plan to use standard precautions Administer intramuscular ceftriaxone Recommend bottle feeding after birth Report any greenish-yellow purulent discharge Expect suppression therapy at 4 weeks before birth Review prescription for tetracycline

Screen at 36 weeks' gestation Administer intramuscular ceftriaxone

Which assessment finding in a client with a left pneumothorax who has a chest tube in place requires the nurse to take immediate action? Select all that apply. Tracheal deviation from midline Oxygen saturation of less than 90% Drainage system found below the chest Tubing is coiled on bed Visible eyelets on chest tube Bubbling noted upon exhalation Disconnection of chest tube from system Sudden dyspnea onset

Tracheal deviation from midline Oxygen saturation of less than 90% Visible eyelets on chest tube Bubbling noted upon exhalation Disconnection of chest tube from system Sudden dyspnea onset