Exam 26: Closed Chest Drainage

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The lungs are covered with a membrane called the _________________.

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visceral pleura
The lungs are covered with a membrane called the visceral pleura.

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

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D

A __________________ occurs from rupture in the pleura when air accumulates in the pleural space more rapidly than it is removed.It is a life-threatening situation.

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tension pneumothorax
A tension pneumothorax occurs from rupture in the pleura when air accumulates in the pleural space more rapidly than it is removed.It is a life-threatening situation.

An appropriate technique is followed while providing care for a patient with chest tubes when the nurse:

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Chest tubes placed low (usually in the fifth or sixth intercostal space)and posterior or lateral are used to _________________.

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A ______________ is a large catheter that is inserted through the thorax to remove fluid,blood,and/or air.

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Which condition may be treated with a Heimlich valve attached to a catheter inserted into the chest wall?

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

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

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The nurse is caring for a patient who has a chest tube.Attached to the top of the patient's bed are two shodded hemostats.In which situations would these be used? (Select all that apply.)

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An ________________ is usually unilateral,and the fluid is high in protein.It is the result of many clinical conditions such as cancer,infection,pancreatitis,connective tissue disease (e.g.,rheumatoid arthritis),or collagen vascular disease.

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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,knowing that the patient has a:

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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?

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

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A ___________________ is a collapse of the lung caused by a collection of air in the pleural space.

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A ____________ is a collapse of the lung caused by an accumulation of blood and fluid in the pleural cavity between the chest wall and the lung,usually as a result of trauma.

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_____________ are usually bilateral and occur from a variety of conditions,such as congestive heart failure,hepatic disease,or nephrotic syndrome.

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The potential space between the visceral and parietal pleura is called the ________ and is filled with approximately 4 mL of lubricating fluid to help the pleura slide during respiration.

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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?

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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.)

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