266 CLOSED CHEST DRAINAGE SYSTEMS EXAM REMEDIATION
1. The nurse is caring for a patient with a chest tube. Which of the following findings would require
follow-up with the health care provider? I was thinking the diagnostic indicator is not where
the water would be but the chest tube system is a waterless drainage system. If there has not
been any tidaling for 24 hours with an apical chest tube, the provider would need to be called
because there may be an air leak.
2. A patient has a mediastinal chest tube inserted following surgery. Which of the following
indicates a tension pneumothorax may be developing in the patient? (partial) All of the answers
checked were correct, I kept going back and forth to answer hypotension which was also
correct.
3. Which of the following can cause a tension pneumothorax? (partial) Kinking of the chest tube,
clamping of chest tube, and obstruction of a blood clot can cause tension pneumothorax.
4. An 18-year-old man presents with shortness of breath and chest pain, which he says has gotten
progressively worse since yesterday. He is diagnosed with a spontaneous pneumothorax. The
patient will have a chest tube inserted that will be connected to a disposable three-chambered
closed chest drainage system with suction. The patient’s preprocedure vital signs are:
temperature 99° F orally, pulse 77, respiration 30 with diminished breath sounds on the right,
blood pressure 120/80, and SaO2 85%. Which findings support the diagnosis of spontaneous
pneumothorax? (partial) I misread the question. The pulse is within normal limits. However,
With respirations of 30 with diminished breath sounds and O2 sat of 85% would support the
patient’s diagnosis of spontaneous pneumothorax.
5. The NAP has asked how to be of assistance during insertion of a chest tube. What activities can a
NAP assist with related to insertion, maintenance, and removal of a chest tube? (partial) The
reading clearly stated the NAP would report any complaints of discomfort or pain. The NAP
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:22:36 GMT -05:00
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1. The nurse is caring for a patient with a chest tube. Which of the following findings would require
follow-up with the health care provider? I was thinking the diagnostic indicator is not where
the water would be but the chest tube system is a waterless drainage system. If there has not
been any tidaling for 24 hours with an apical chest tube, the provider would need to be called
because there may be an air leak.
2. A patient has a mediastinal chest tube inserted following surgery. Which of the following
indicates a tension pneumothorax may be developing in the patient? (partial) All of the answers
checked were correct, I kept going back and forth to answer hypotension which was also
correct.
3. Which of the following can cause a tension pneumothorax? (partial) Kinking of the chest tube,
clamping of chest tube, and obstruction of a blood clot can cause tension pneumothorax.
4. An 18-year-old man presents with shortness of breath and chest pain, which he says has gotten
progressively worse since yesterday. He is diagnosed with a spontaneous pneumothorax. The
patient will have a chest tube inserted that will be connected to a disposable three-chambered
closed chest drainage system with suction. The patient’s preprocedure vital signs are:
temperature 99° F orally, pulse 77, respiration 30 with diminished breath sounds on the right,
blood pressure 120/80, and SaO2 85%. Which findings support the diagnosis of spontaneous
pneumothorax? (partial) I misread the question. The pulse is within normal limits. However,
With respirations of 30 with diminished breath sounds and O2 sat of 85% would support the
patient’s diagnosis of spontaneous pneumothorax.
5. The NAP has asked how to be of assistance during insertion of a chest tube. What activities can a
NAP assist with related to insertion, maintenance, and removal of a chest tube? (partial) The
reading clearly stated the NAP would report any complaints of discomfort or pain. The NAP
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:22:36 GMT -05:00
https://www.coursehero.com/file/151324257/266-CLOSED-CHEST-DRAINAGE-SYSTEMS-EXAM-REMEDIATIONdocx/
