A nurse is caring for a client who has a chest tube connected to a closed drainage system. d) The chest tube is obstructed.
A nurse is caring for a client who has a chest tube connected to a closed drainage system The nurse caring for a client with pneumothorax who has a closed chest drainage system notes that the fluctuation (tidaling) in the water seal chamber has stopped. Continuous bubbling indicates an air leak and clamping should be avoided to ensure continual drainage. Suction needs to be increased. Fluctuation of water in the tube in the water seal chamber during inhalation and exhlation, The nurse is assisting a health care provider with the removal of a chest tube. Measuring and documenting the drainage in the collection chamber 2. A nurse is planning care for a client following placement of a chest tube 1 hr ago. C. Which of the following actions should the nurse take? Observe the integrity of the drainage system tubing and chest tube every 1 to 4 hours according to agency policy and with any change in the client’s condition. The nurse notes that the fluid in the water-seal column is fluctuating with each breath that the client takes. Clamp the chest tube and After lobectomy for lung cancer, a client receives a chest tube connected to a disposable chest drainage system. The nurse should identify that which of the following is an indication of a problem in the drainage system? A) Constant bubbling in the suction-control chamber B) Fluctuations in the fluid level in the water-seal chamber C) Occasional bubbling in the water-seal The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the water seal chamber. Which of the following strategies should the nurse use to help promote comfort for this patient? A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take? Clamp the chest tube prior to transferring the client to a wheelchair. 50 mL of drainage in the drainage collection chamber 5. What should the nurse tell the client and the family that this drainage system is used for?, You are caring for a client status post lung resection. B. Place the head of the patient's bed flat. A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. The chest tube may be obstructed. On the illustration below, identify which chamber the nurse will mark to record the current drainage level. When assisting the client out of bed to a chair, which of the following actions should the nurse take/ A nurse is caring for a client with a chest tube connected to a three-chamber drainage system without suction. Tape all connections between the chest tube and drainage system D. What should the nurse conclude? a) The client has a pneumothorax. Which of the following actions should the nurse take? The nurse received a client from the post-anesthesia care unit (PACU) who has a chest tube to a closed drainage system. The provider asks for the suction pressure of the closed-chest drainage system to be set at -40cm of water. The client has a chest tube connected to a closed drainage system. A nurse is caring for a client with a chest tube connected to a three-chamber drainage system without suction. Promote oxygenation by encouraging the client to perform frequent position changes, deep breathing and coughing exercises, incentive spirometry, and ambulation as ordered. b) The system is functioning normally. It's connected to a closed drainage system to maintain a negative pressure and allow for the removal of these substances. Correct answer: C Rationale: When transporting a client with a chest tube connected to a closed drainage system, it is crucial to keep the drainage system below the level of the client's chest at all times. A nurse is caring for a client who has a three-chamber closed chest tube system, Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration? A client has a chest tube attached to a water seal drainage system, and the nurse notes that the fluid in the chest tube and in the water seal column has stopped fluctuating. Some assessments and interventions should occur at the start of the shift to ensure the client is stable and the chest tube drainage system is functioning appropriately, whereas other interventions and monitoring occur throughout the shift. The client asks the nurse why a chest tube was inserted. Which of the following actions should the nurse take?, The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Disconnect the chest tube from the drainage system during transport. Mar 16, 2025 · When caring for a client with a chest tube, it is crucial for the nurse to monitor for subcutaneous emphysema. Replace the existing system with a new one to access the drainage in the existing system. Keep the drainage system below the level of the client's A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following closed-chest drainage systems should the nurse prepare for this client? A nurse is caring for a client who is 12-hour post op and has a chest tube to a disposable water-seal drainage system with suction. 4 Use a dressing impregnated For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? 1. Keep the chest tube drainage system at the level of the right atrium C. Report from the PACU nurse included drainage in the chest tube at 80 mL of bloody fluid. Clamp the chest tube if there is continuous bubbling in the water seal chamber B. Refer to the date and time markings on the outside of the collection chamber. Check for an air leak because the bubbling needs to be intermittent. A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take keep the drainage system below the level of the client's chest at all times. 3 Add sterile water to the suction control chamber to maintain 20 cm of suction. The nurse is assessing a patient with chest tubes connected to a drainage system. Suction needs to be decreased. This positioning prevents the backflow of drainage into the client's chest, reducing the risk of complications. If the chest tube and closed chest drainage system are effective, what type of pressure will be reestablished? I have to keep my nasal cannula oxygen levels between 4 and 6 L/minute. Aspirate the drainage from the collection chamber. Which of the following actions should the nurse take? A nurse is caring for a client who requires a chest tube. The nurse observes that the drainage system is functioning correctly when she notes tidal movements or fluctuations in which compartment of the system as the client breathes? Study with Quizlet and memorize flashcards containing terms like A nurse is educating a client in anticipation of a procedure that will require a water-sealed chest drainage system. Jan 14, 2023 · Nursing care for patients with a chest tube includes assessment of the chest tube site to prevent dislodgement and infection, management of effective suction and drainage, pain relief, monitoring the respiratory status, and providing overall supportive care. There are several nursing responsibilities related to caring for clients with chest tube drainage systems. Which of the following actions should the nurse take? Drainage system maintained below the client's chest 4. What should the nurse do to determine the amount of chest tube drainage? A. On the basis of this assessment finding, the nurse would suspect which occurrence? The system needs changing. The nurse should intervene for which of the following observations? When caring for a client who has hemopneumothorax and a chest tube, which prescribed action by the health care provider would the nurse question? 1 Autotransfuse the blood in the collection chamber after 6 hours. d) The chest tube is obstructed. A nurse is caring for a client with a pneumothorax who has a chest tube attached to a closed chest drainage system. the client reports a burning sensation in chest. What should the first action be when the nurse observes excessive bubbling in the water seal chamber? Milk the chest tube. Which of the following actions should the nurse take? For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? a) maintaining continuous bubbling in the water-seal chamber b) keeping the collection chamber at chest level c) measuring and documenting the drainage in the collection chamber d) stripping the chest tube every hour A nurse is caring for a patient who has a chest tube in place attached to a closed-chest water-seal drainage system following thoracic surgery. Which is the most appropriate initial nursing action? Perform a focused respiratory assessment. c) The system has an air leak. Clamp the chest tube and empty the Study with Quizlet and memorize flashcards containing terms like For client with a closed chest tube drainage system connected to suction, which assessment finding requires additional evaluation by the nurse? A column of water 20cm high in suction control chamber 75 ml bright red blood in the drainage collection chamber An intact occlusive dressing at insertion site Constant bubbling in water The nurse is assigned to assist in caring for a client diagnosed with a pneumothorax who has a chest tube connected to a closed-chest drainage system. What action is most appropriate? Do nothing because this is an expected finding. Empty the a nurse is caring for a client who is postop following a wedge resection of a lung and has a chest tube with a water seal chest tube drainage system. D. The nurse should identify that which of the following is an indication of a problem in the drainage system? A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Chest Tubes NCLEX Review Chest tubes NCLEX review on how to care for a patient with chest tube drainage systems. Which of the following actions should the nurse include in the plan of care? A. The nurse received a client from the post-anesthesia care unit (PACU) who has a chest tube to a closed drainage system. A nurse is caring for a client who is 6 hr postoperative and has a chest tube in place that is attached to a closed-chest water-seal drainage system. Occlusive dressing in place over the chest tube insertion site 6. A nurse observes constant bubbling in the water-seal chamber of a closed chest drainage system. 2 Disconnect the drainage system from suction to ambulate the client. Increase the suction pressure so that the bubbling becomes vigorous. The nurse is responsible for monitoring the patient and chest tube drainage system while maintaining the chest tube system. A client has a closed chest drainage system in place. A client with rib fractures and a pneumothorax has a chest tube inserted that is connected to a water-seal chest tube drainage system. . " The nurse is monitoring the chest tube drainage system in a client with a chest tube. A nurse is caring for a client who is 6 hr postop and has a chest tube in place attached to a closed-chest water-seal drainage system. Which of the following actions should the nurse take? Keep the drainage system below the level of the client's chest at all times. Disconnect the system and get another. Keeping the drainage system below the chest level is vital for effectiveness. The nurse notes constant bubbling in the water seal chamber. Client presents to the ED and reports dyspnea, chest pain, and tachycardia. Which of the following actions should the nurse take? A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. what action? a nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. When transporting a patient with a chest tube, it's crucial to maintain the function of the drainage system and prevent complications. Keeping the collection chamber at chest level 4. Notify the physician. Stripping the chest tube every hour A nurse is caring for a client who is 6 hr postoperative and has a chest tube in place that is attached to a closed-chest water-seal drainage system. The nurse should identify that which of the following is an indication of a problem in the drainage system? There are several nursing responsibilities related to caring for clients with chest tube drainage systems. Maintaining continuous bubbling in the water-seal chamber 3. Which of the following actions should the nurse take? and more. cnf timl mrph z2bevzt adg bphq20y0 hzty5w blkt cqon owwk