Question 1

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

Accepted Answer

A)  A leak in the system
B)  Normal functioning
C)  A drainage obstruction
D)  Insufficient suction pressure

Question 2

The nurse is caring for a patient with a chest tube that was inserted 4 days earlier.She notices that the drainage is blood-tinged.What might this indicate to the nurse?

Accepted Answer

A)  Malignancy
B)  Pulmonary infarction
C)  Empyema
D)  Hemothorax

Question 3

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 nursing assistive personnel (NAP) ?

Accepted Answer

A)  Changing the chest tube drainage system
B)  Milking the chest tube
C)  Measuring chest tube output
D)  Turning and positioning the patient

Question 4

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

Accepted Answer

A)  Add sterile water to the suction chamber.
B)  Add sterile solution to the water seal.
C)  Set the float ball to the correct drainage pressure.
D)  Connect directly to the chest tube and add nothing.

Question 5

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?

Accepted Answer

A)  Respiratory rate of 18 breaths per minute
B)  Continuous bubbling in the water-seal chamber
C)  The presence of subcutaneous emphysema
D)  Complaints of pain at the insertion site
E)  Serous drainage on the chest tube dressing the size of a bean

Question 6

Which of the following is an expected outcome of chest tube insertion?

Accepted Answer

A)  Mild chest pain is maintained.
B)  Breath sounds are auscultated in all lobes.
C)  Drainage from the pleural cavity increases over time.
D)  Lung expansion is increased beyond the unaffected side.

Question 7

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.

Accepted Answer

A)  6 to 8
B)  12 to 16
C)  18 to 24
D)  48 to 72

Question 8

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

Accepted Answer

A)  hangs the reinfusion lower than the usual intravenous (IV) bag.
B)  uses a microaggregate filter on the reinfusion bag.
C)  maintains 500 mm Hg pressure in the gravity blood cuff.
D)  keeps the clamps open on the drainage tubing during bag transfer.

Question 9

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?

Accepted Answer

A)  The fluid level in the water seal rises with inspiration.
B)  The fluid level in the water seal falls with inspiration.
C)  Constant bubbling occurs in the water seal.
D)  The fluid level in the water seal falls with expiration 3 days after insertion.

Question 10

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

Accepted Answer

A)  Have an assistant apply an occlusive gauze dressing and tape on all four sides.
B)  Clamp the chest tube.
C)  Attempt to gently reinsert the tube.
D)  Apply pressure over the insertion site.

Exam 27: Closed Chest Drainage Systems

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

Correct Answer
verified

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.

Correct Answer
verified

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

Correct Answer
verified

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?

Correct Answer
verified

Which of the following is an expected outcome of chest tube insertion?

Correct Answer
verified

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

Correct Answer
verified

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?

Correct Answer
verified

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 nursing assistive personnel (NAP) ?

Correct Answer
verified

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

Correct Answer
verified

The nurse is caring for a patient with a chest tube that was inserted 4 days earlier.She notices that the drainage is blood-tinged.What might this indicate to the nurse?

Correct Answer
verified

Exam 27: Closed Chest Drainage Systems

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

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Which of the following is an expected outcome of chest tube insertion?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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 nursing assistive personnel (NAP) ?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with a chest tube that was inserted 4 days earlier.She notices that the drainage is blood-tinged.What might this indicate to the nurse?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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