Weekly NCLEX/HESI Question for August 5


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August 5

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A patient has a chest tube placement post right thoracotomy. During assessment the nurse expects all of the following findings except:
Use of accessory muscles with respiration.
Water level in the chamber rises and falls with each respiration.
Chest drainage flows into the first chamber.
Evaluate tidaling by disconnecting chest tube from wall suction.
Question 1 Explanation: 
The correct answer is (a). Use of the accessory muscles is an abnormal finding that could indicate air in the pleural sac.
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