NUR 210 EX 1 Chest Tubes Exam Questions With 100% Correct Answers | Latest Update 2026 | Guaranteed Pass

NUR 210 EX 1 Chest Tubes Exam Questions With 100% Correct Answers | Latest Update 2026 | Guaranteed Pass How much fluid is in the pleural space that is normal - answer-50cc Is tidaling good or bad - answer-good, if there is no tidaling its bad If I have a chest tube what would my tidaling look like - answer-when I take a breathe in the ball goes up and when I breathe out the ball goes down If I am on a vent and I have a chest tube what would my tidaling look like - answer-when I take a breathe in the ball goes down and when I breathe out the ball goes up A positive airleak with intermittent tidaling means - answer-good A negative airleak means - answer-lung re-expansion tube kinked blood clot Clients who need a chest tube present with what s/s - answer--dyspnea, cough, pleuritic chest pain -distended neck veins, hemodynamic instability (late sign) -absent or reduced breathe sounds on affected side -Hyperresonance on percussion of affected side (pneumothorax) -Dullness or flatness on percussion of the affected side (hemothorax, pleural effusion) -asymmetrical chest wall motionWhat do we do PRE- chest tube placement - answer--VERIFY consent (RN can not give consent) -assess for allergies to local anesthetics such as lidocaine -assist pt in preferred position(supine w/ HOB 30-60 and arm raised or semi-fowlers leaning over table) -prepare chest drainage system (fill water seal chamber) -emergency supplies: occlusive dressing, sterile water, hemostats, resuscitation equipment note: if tube disconnects from body, close the hole but leave a small opening What do we do POST chest tube placement - answer--assess VS, breathe sounds, SaO2, resp effort, and tracheal position -obtain CXR to confirm placement -tape all connections between tube and drainage system to prevent leaks -keep drainage system below the pts chest level -position pt in semi or high fowlers -encourage cough and deep breathing Drainage chamber-what to check - answer--color: is it serous (clear), sanguineous (red/pink) or purulent (odor yellow) -amount: report over 100-200mL/hr immediately (especially post op or trauma) -Trends: sudden cessation may indicate blockage or sudden surge may signal bleeding When do we report chest tube drainage immediately to the provider - answer-if over 100-200mL/hr What do we monitor in water seal chambers? - answer--intermittent bubbling (we want this) -continous bubbling (bad=possible air leak notify provider and check tubing) -tidaling (we want tidaling. if not occur this means lung re-expansion or blockage) If suction is used for chest tubes what do we expect to see - answer--wet suction: water level bubbling gently