Chest Tube Insertion Procedure
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Questions and Answers

Where should the chest tube be inserted to remove air?

  • Near the apex of the lung (correct)
  • Through the fourth to sixth intercostal spaces
  • Near the base of the lung
  • Between the anterior axillary and midaxillary lines
  • What is the appropriate size of a chest tube to drain air?

  • 22 to 26 F
  • 12 to 14 F
  • 16 to 20 F (correct)
  • 28 to 40 F
  • Which component of the chest tube is used as a connector between the chest tube and the drain?

  • Sterile gloves
  • Line (correct)
  • Under water seal
  • Lidocaine local anesthetic
  • What is the ideal location for inserting a chest tube to drain fluid?

    <p>Second to third intercostal space (D)</p> Signup and view all the answers

    What should be worn during the procedure of chest tube insertion for a healthcare provider?

    <p>Sterile gown, eye goggles, and face mask (D)</p> Signup and view all the answers

    What is the dangerous consequence of 'stripping' a chest drain?

    <p>Conversion of simple pneumothorax to life-threatening pneumothorax (D)</p> Signup and view all the answers

    What is the purpose of oscillation movement of air in the chest tube during respiration?

    <p>To reflect change of pressure in pleural space (D)</p> Signup and view all the answers

    What should you check for in the water-seal chamber while the patient breathes?

    <p>Water level fluctuations (B)</p> Signup and view all the answers

    When is bubbling in the water-seal chamber considered normal?

    <p>When removing air from the pleural cavity (A)</p> Signup and view all the answers

    What should be done if bubbling is absent in the water-seal chamber?

    <p>Have the patient cough (B)</p> Signup and view all the answers

    Why is tapping, fanning, or milking the chest drain not recommended?

    <p>Cause unnecessary discomfort (D)</p> Signup and view all the answers

    What is the purpose of a 28 to 40 French catheter in a sterile chest tube tray?

    <p>To drain blood, pus, or thick fluid (C)</p> Signup and view all the answers

    Why is it essential for the practitioner to have written informed consent before chest tube insertion?

    <p>To comply with legal and ethical standards (C)</p> Signup and view all the answers

    What does a sterile 4″ × 4″ (10-cm × 10-cm) drain dressing in the sterile chest tube tray help prevent?

    <p>Infection at the insertion site (D)</p> Signup and view all the answers

    Why should a practitioner conduct a pre-procedure verification before chest tube insertion?

    <p>To confirm all necessary equipment and documentation are available (D)</p> Signup and view all the answers

    What purpose does a 3″ to 4″ (7.6- to 10-cm) adhesive tape serve in the chest tube insertion procedure?

    <p>To secure the chest tube in place after insertion (C)</p> Signup and view all the answers

    What should be done to assess for a displaced tube, tension pneumothorax, or other complication?

    <p>Obtain emergency assistance (C)</p> Signup and view all the answers

    How can an air leak be indicated?

    <p>Continuous or intermittent bubbling in the drainage device (A)</p> Signup and view all the answers

    Which item in the list is NOT typically part of a sterile chest tube tray?

    <p>Rubbing alcohol (D)</p> Signup and view all the answers

    What action should be taken if bubbling stops after clamping near the dressing site?

    <p>Notify the health care provider immediately (B)</p> Signup and view all the answers

    If bubbling continues after clamping near the chest wall, what should be done next?

    <p>Move the clamp towards the chest wall (C)</p> Signup and view all the answers

    What does continuous or intermittent bubbling in the water seal chamber indicate?

    <p>Leak from the chest tube site (D)</p> Signup and view all the answers

    If bubbling continues despite clamping near the drainage device, what does this suggest?

    <p>Leak in the drainage tubing (D)</p> Signup and view all the answers

    What maneuver should the patient perform to prevent air from entering the pleural space when the chest tube is being removed?

    <p>Valsalva maneuver (A)</p> Signup and view all the answers

    Why should the chest tube catheter be clamped with two clamps?

    <p>To minimize dead space (D)</p> Signup and view all the answers

    What should be done with the chest tube during patient transfer?

    <p>One person should hold the chest tube (B)</p> Signup and view all the answers

    Why is it important not to clamp the chest tube during patient transfer?

    <p>Clamping can lead to tension pneumothorax (C)</p> Signup and view all the answers

    What is the purpose of cleaning the area around the tubes with an antiseptic swab?

    <p>To sterilize the area (D)</p> Signup and view all the answers

    Why is it essential to trace the chest tube to ensure proper removal?

    <p>To remove the correct tube (A)</p> Signup and view all the answers

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