A nurse is caring for a patient who is 6 hours postop and has a chest tube in place
attached to a closed-chest water-seal drainage system. The nurse should observe for
which of the following indications of a problem in the drainage system - Answer
Continuous bubbling in the water-seal chamber
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 of the following strategies
should the nurse use to help promote comfort for this patient - Answer Have the patient
split the affected side during coughing
While providing care for a patient who has a chest tube in place attached to a closed
chest drainage system, the nurse accidentally disconnects the chest tube from the
system. Which of the following should the nurse do to prevent a serious complication
while preparing to reconnect the system - Answer Submerge the end of the chest tube
in 1" of sterile water
A nurse is planning education for a patient who has a chest tube in place attached to a
closed chest drainage system following surgery for lung cancer. Which of the following
should the nurse emphasize to the patient when he is ready to ambulate freely? -
Answer Keep the collection device upright at all times
A nurse is preparing to transport to radiology a patient who has a chest tube and a
closed chest wet suction drainage system. The provider allows disconnecting the
drainage system from the suction source during transportation. Which of the following
must the nurse do when detaching the suction source? - Answer Make sure the air vent
is open
A nurse is caring for a patient who has a chest tube in place attached to water-seal
drainage. Which of the following observations about the drainage should be reported if
found 5 hours after insertion - Answer About 150ml/hr over the past 2 hr
A nurse is assessing a patient who has a chest tube in place attached to a closed chest
water seal drainage system. When the nurse palpates the area around the chest tube
insertion site, she is checking for - Answer Subcutaneous emphysema
A patient injured in a motor vehicle crash is transported to an emergency department.
The provider determines the need for immediate thoracotomy and chest tube insertion
and anticipates the need for maximal suction pressure. The appropriate type of closed
chest drainage system for this patient is a - Answer Dry suction control system