Exam 26: Closed Chest Drainage Systems

The nurse is preparing to assist the physician in removal of a chest tube.What should the nurse do to prepare the patient? (Select all that apply.)

A nurse determines that there may be a leak in the chest tube system.Clamps are applied near the patient's chest, and the nurse finds that the bubbling stops.What should the nurse do next?

The nurse is caring for a patient who is comatose and on a ventilator.When she enters the room, she notices that the patient's trachea has shifted toward the left side of the patient's neck, and he has become tachycardic.She assesses the patient's blood pressure and notes that it is 84/38.The nurse calls for help, having recognized that the patient has developed which of the following conditions?

Which of the following represents appropriate technique when providing care for a patient with chest tubes?

The patient's chest tube is attached to a one-way flutter valve that allows air to escape the chest cavity and prevents air from reentering.How does the nurse document this finding?

The nurse knows that _______________ is the proper term to describe that the patient's water seal is fluctuating up and down with each breath.

What should the nurse do to establish a two-chamber waterless chest tube system?

The nurse is caring for a patient with blood collecting in the pleural space.The nurse documents this as:

The nurse is caring for a patient who has had a chest tube in place for 2 days.As the nurse begins her shift assessment, she should ensure that what equipment is at the bedside? (Select all that apply.)

What is indicated by continuous bubbling in the water-seal chamber with no bubbles noted in the suction control chamber of the drainage system?

What condition is indicated when a patient with a chest tube experiences sharp, stabbing chest pain without a change in pulse or blood pressure?

What is the expected amount of drainage for an adult patient with a mediastinal chest tube?

The patient has a chest tube for a pneumothorax.Assessment revealed no continuous bubbling in the water-seal chamber.The nurse finds no loose connections.After the chest tube near the patient is clamped, the bubbling stops.The nurse's first action should be to:

Appropriate intervention for the patient who is having a reinfusion of chest tube drainage is noted when the nurse:

The nurse is caring for a patient with a chest tube connected to wall suction.To keep the tube patent, the nurse should implement which of the following? (Select all that apply.)

The nurse is caring for a patient with a chest tube that was inserted 4 days earlier.She notices that the drainage contains a large amount of pus.What does the presence of the pus indicate?

The nurse is providing care for a patient with a pneumothorax.She anticipated removal of the chest tube because of the absence of an air leak for the past _____ hours.

The nurse is performing an initial assessment of a patient with a chest tube placed in the eighth intercostal space.Which of the following findings would the nurse need to assess further? (Select all that apply.)

Which of the following is the correct positioning for a patient after a chest tube has been inserted for a hemothorax?

The nurse is caring for a patient who has a chest tube connected to a water seal.The patient is not on a ventilator.Which of the following would the nurse consider normal?