Chest Tubes Questions And Answers 2022
A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? (Select all that apply.)
A. Oxyg
...
Chest Tubes Questions And Answers 2022
A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? (Select all that apply.)
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - ANS-A, B, C, E
Oxygen should be readily available in case the client
develops respiratory distress following chest tube placement. The nurse should
monitor respiration, oxygen saturation, and lung sounds.
If the chest tubing becomes disconnected, the end of
the tubing should be placed in sterile water to restore the water seal.
Hemostat clamps should be available for the nurse to use to check for air leaks.
If the chest tubing becomes disconnected, the nurse should immediately place a
gauze dressing over the site. An occlusive dressing can also be necessary to
prevent the redevelopment of a pneumothorax.
A nurse is caring for a client who has a chest tube and drainage system in place.
The nurse observes that the chest tube was accidentally removed. Which of the
following actions should the nurse take first?
A. Obtain a chest x-ray.
B. Apply sterile gauze to the insertion site.
C. Place tape around the insertion site.
D. Assess respiratory status. - ANS-B.
Using the airway, breathing, and circulation (ABC) priority-setting framework,
application of a sterile gauze to the site should be the first action for the nurse to
take. This allows air to escape and reduces the risk for development of a tension
pneumothorax.
A nurse is assessing a client who has a chest tube and drainage system in place.
Which of the following are expected findings? (Select all that apply.)
A. Continuous bubbling in the water seal chamber
B. Gentle constant bubbling in the suction control chamber
C. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
D. Exposed sutures without dressing
E. Drainage system upright at chest level - ANS-B, C
Gentle bubbling in the suction control chamber is an expected finding as air is being
removed.
A rise and fall of the fluid level in the water seal chamber upon inspiration and
expiration indicates that the drainage system is functioning properly.
A nurse is assisting a provider with the removal of a chest tube. Which of the
following should the nurse instruct the client to do?
A. Lie on his left side.
B. Use the incentive spirometer.
C. Cough at regular intervals.
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