NUR105 M3.4: ATI Skills Modules: Closed-Chest Drainage
A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed-chest drainage system to be set at -40cm of water. Which of the following closed-chest drainage systems should the nurse prepare for this client? NUR105 M3.4: ATI Skills Modules NUR105 M3.4: ATI Skills Modules
Answer: Dry suction-control system
Explanation: Dry suction-control systems can provide higher suction pressures, making them suitable for cases where more significant suction is required.
Question: A nurse is caring for a client who has a chest tube in place that is attached to water-seal drainage system. Which of the following findings should the nurse recognize as an indication of subcutaneous emphysema?
Answer: A dry, crackling sound at the insertion site when palpated NUR105 M3.4: ATI Skills Modules. NUR105 M3.4: ATI Skills Modules
Explanation: Subcutaneous emphysema is characterized by a dry, crackling sound at the insertion site due to air leaking into the subcutaneous tissue.
Question: A nurse is caring for a client who has a chest tube in place that is attached to a closed-chest drainage system. Which of the following actions should the nurse take if the chest tube becomes dislodged from the closed-chest drainage system? NUR105 M3.4: ATI Skills Modules
Answer: Submerge the end of the chest tube in 1 inch of sterile water
Explanation: Submerging the dislodged chest tube in sterile water creates a water seal to prevent air from entering the pleural space when the client inhales.
Question: A nurse is caring for a client who has a chest tube in place. Which of the following strategies should the nurse use to help promote comfort for the client? NUR105 M3.4: ATI Skills Modules
Answer: Have the client splint the affected side during coughing. NUR105 M3.4: ATI Skills Modules
Explanation: Splinting the affected side during coughing can help minimize pain for a client with a chest tube, in addition to administering pain relief as needed.
Question: A nurse is preparing to transport a client who has a chest tube and a closed-chest wet-suction drainage system to radiology. Which of the following actions should the nurse take when detaching the suction source for transportation?NUR105 M3.4: ATI Skills Modules
Answer: Make sure the air vent is open NUR105 M3.4: ATI Skills Modules
Explanation: The air vent in the water-seal chamber should be open to maintain proper functioning of the drainage system when disconnecting the suction source.
Question: A nurse is assessing a client 5 hr after the insertion of a chest tube that is attached to a water-seal drainage system. Which of the following observations about the drainage should the nurse report to the provider?
Answer: About 150 mL/hr drainage over the past 2 hr
Explanation: Drainage exceeding 70 mL/hr should be reported after the initial hours following chest tube insertion, as it may indicate a significant issue or bleeding.
Question: 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?
Answer: Continuous bubbling in the water-seal chamber
Explanation: Continuous bubbling in the water-seal chamber indicates an air leak in the drainage system, which should be addressed promptly.
Question: A nurse is planning education for a client who has a chest tube in place that is attached to a closed-chest drainage system. Which of the following instructions should the nurse plan to provide when the client is ready to ambulate?
Answer: Keep the collection device upright at all times
Explanation: To ensure the proper functioning of the closed-chest drainage system, the collection device must be kept upright at all times.
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