Chest Tube Practice Quiz
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Questions and Answers

What is the purpose of a chest tube?

  • To deliver medication into the pleural space
  • To remove air or fluid from the pleural space and restore negative pressure (correct)
  • To increase positive pressure in the lungs
  • To prevent infection in the pleural cavity

    • Which condition is a common indication for chest tube placement?

  • Pulmonary embolism
  • Asthma
  • COPD exacerbation
  • Pneumothorax (correct)

    • Where is the chest tube typically inserted to remove air?

  • Mid-axillary, 7th intercostal space
  • Mid-clavicular, 2nd intercostal space (correct)
  • Mid-clavicular, 10th intercostal space
  • Sternal border, 4th intercostal space

    • What is the expected finding in the water seal chamber of a functioning chest tube?

    <p>Intermittent bubbling (A)</p> Signup and view all the answers

    What should the nurse do if the chest tube is accidentally dislodged?

    <p>Apply Vaseline gauze taped on three sides (C)</p> Signup and view all the answers

    Which type of chest tube system uses water to regulate suction pressure?

    <p>Water seal system (D)</p> Signup and view all the answers

    When monitoring a chest tube, what observation indicates a need for intervention?

    <p>Sudden increase in bright red drainage (D)</p> Signup and view all the answers

    What is the priority nursing action if the chest tube becomes disconnected from the drainage system?

    <p>Submerge the distal end in sterile water (A)</p> Signup and view all the answers

    What is the purpose of the Vaseline gauze dressing after chest tube removal?

    <p>Seal the site and prevent air entry (A)</p> Signup and view all the answers

    Which finding in the water seal chamber suggests an air leak?

    <p>Continuous bubbling (B)</p> Signup and view all the answers

    What is a priority assessment after chest tube insertion?

    <p>Checking for lung sounds and respiratory effort (B)</p> Signup and view all the answers

    What should the nurse teach a patient before chest tube removal?

    <p>You may need to hold your breath during removal. (B)</p> Signup and view all the answers

    How should the chest tube drainage system be positioned?

    <p>Below the level of the chest (A)</p> Signup and view all the answers

    Which finding indicates the chest tube is ready for removal?

    <p>Symmetrical chest expansion and clear lung sounds (B)</p> Signup and view all the answers

    Which is a potential complication of chest tube placement?

    <p>Subcutaneous emphysema (C)</p> Signup and view all the answers

    What is the purpose of tidaling in the water seal chamber?

    <p>Reflects changes in intrapleural pressure (D)</p> Signup and view all the answers

    What is the primary nursing goal for a patient with a chest tube?

    <p>Prevent infection and promote lung re-expansion (D)</p> Signup and view all the answers

    What should the nurse do if continuous bubbling is observed in the water seal chamber of a chest drainage system?

    <p>Check for air leaks in the system (A)</p> Signup and view all the answers

    Which statement indicates that a patient understands the discharge instructions after chest tube removal?

    <p>I should call my doctor if I experience shortness of breath. (B)</p> Signup and view all the answers

    When should a nurse suspect subcutaneous emphysema in a patient with a chest tube?

    <p>When crepitus is felt under the skin around the tube insertion site (A)</p> Signup and view all the answers

    What is the correct method for clamping a chest tube?

    <p>Clamp the chest tube momentarily when changing the drainage system (A)</p> Signup and view all the answers

    What is the priority nursing intervention if the chest tube drainage system tips over?

    <p>Check for proper function and water seal integrity (B)</p> Signup and view all the answers

    What is the expected outcome of chest tube therapy for a hemothorax?

    <p>Decrease in respiratory distress and absence of fluid on imaging (B)</p> Signup and view all the answers

    Which of the following requires immediate intervention for a patient with a chest tube?

    <p>Sudden cessation of drainage (D)</p> Signup and view all the answers

    What equipment should always be available at the bedside for a patient with a chest tube?

    <p>Vaseline gauze, sterile water, padded hemostats (A)</p> Signup and view all the answers

    A patient with a chest tube reports increased pain during deep breathing. What is the nurse's best response?

    <p>Let me assess the tube placement and your pain level. (D)</p> Signup and view all the answers

    What should the nurse do if tidaling is absent in the water seal chamber?

    <p>Assess for lung re-expansion or a blocked tube (D)</p> Signup and view all the answers

    A nurse is assisting with chest tube placement. What position is most appropriate for the patient?

    <p>Sitting upright or lying on the unaffected side (C)</p> Signup and view all the answers

    When is it appropriate to transition a patient from suction to a water seal?

    <p>When lung re-expansion is nearly complete (C)</p> Signup and view all the answers

    What action should a nurse take before assisting in chest tube removal?

    <p>Pre-medicate the patient for pain (C)</p> Signup and view all the answers

    Study Notes

    Chest Tube Practice

    • Purpose of a chest tube: To remove air or fluid from the pleural space and restore negative pressure. This allows the lung to re-expand properly.

    • Common indication for chest tube placement: Pneumothorax (air in the pleural space).

    • Typical insertion site for air removal: Mid-clavicular line, 2nd intercostal space.

    • Water seal chamber finding in a functioning chest tube: Intermittent bubbling.

    • Action if chest tube dislodges: Apply Vaseline gauze taped on three sides.

    • Chest tube system for suction pressure regulation: Water seal system.

    • Finding indicating need for intervention: Sudden increase in bright red drainage.

    • Priority action if chest tube disconnects: Submerge the distal end in sterile water.

    • Purpose of Vaseline gauze dressing after removal: Prevents air entry into the pleural space.

    • Finding indicating air leak: Continuous bubbling in the water seal chamber.

    • Priority assessment after chest tube insertion: Checking for lung sounds and respiratory effort.

    • Nursing teaching before chest tube removal: "You may need to hold your breath during removal."

    • Positioning of chest tube drainage system: Below the level of the chest.

    • Finding indicating chest tube ready for removal: Symmetrical chest expansion and clear lung sounds.

    • Potential complication of chest tube placement: Subcutaneous emphysema.

    • Purpose of tidaling in water seal chamber: Reflects changes in intrapleural pressure during breathing.

    • Primary nursing goal for patient with chest tube: Prevent infection and promote lung re-expansion.

    • Action for continuous bubbling in water seal chamber: Check for air leaks in the system.

    • Statement indicating patient understands discharge instructions: "I should call my doctor if I experience shortness of breath."

    • When to suspect subcutaneous emphysema: When crepitus is felt under the skin around the tube insertion site.

    • Correct method for clamping a chest tube: Momentarily when changing the drainage system.

    • Priority intervention if chest tube drainage system tips over: Check for proper function and water seal integrity.

    • Expected outcome of chest tube therapy for hemothorax: Decrease in respiratory distress and absence of fluid on imaging.

    • Finding requiring immediate intervention: Sudden cessation of drainage.

    • Essential equipment at bedside for a patient with a chest tube: Vaseline gauze, sterile water, padded hemostats.

    • Nursing action for increased pain during deep breathing with chest tube: Assess the tube placement and pain level.

    • Action if tidaling is absent in water seal chamber: Assess for lung re-expansion or a blocked tube.

    • Optimal patient position for chest tube placement: Sitting upright or lying on the unaffected side.

    • When to transition from suction to water seal: When lung re-expansion is nearly complete.

    • Action before chest tube removal: Pre-medicate the patient for pain.

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    Related Documents

    Chest Tube Practice PDF

    Description

    Test your knowledge on the purpose, indications, and care of chest tubes. This quiz covers essential actions and findings related to chest tube management after insertion. Perfect for nursing students or medical professionals looking to refresh their skills.

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