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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