Exam 27: Closed Chest Drainage Systems

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

A pneumothorax can be caused by which of the following? (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 preparing to assist the physician in removal of a chest tube.What should the nurse do to prepare the patient? (Select all that apply.)

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

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

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

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

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.)

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

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

The nurse is caring for a patient with a chest tube connected to water-seal drainage.The nurse may delegate which of the following tasks to an unregulated care provider (UCP)?

For a patient with a pneumothorax,where does the nurse anticipate that the chest tube will be located?

The nurse is caring for a patient who is comatose and on a ventilator.When s/he enters the room,s/he notices that the patient's trachea has shifted toward the left side of the patient's neck,and s/he has become tachycardic.S/he 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?

What does the expected role of the nurse include during chest tube removal?

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

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?

During assessment of a patient,the chest tube becomes dislodged.What should the nurse do first?

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.)