{"id":137533,"date":"2024-09-12T20:14:42","date_gmt":"2024-09-12T20:14:42","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137533"},"modified":"2024-09-12T20:14:44","modified_gmt":"2024-09-12T20:14:44","slug":"a-nurse-is-contributing-to-the-plan-of-care-for-a-client-who-has-a-chest-tube-set-to-continuous-suction-to-relieve-a-pneumothorax","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-is-contributing-to-the-plan-of-care-for-a-client-who-has-a-chest-tube-set-to-continuous-suction-to-relieve-a-pneumothorax\/","title":{"rendered":"A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax"},"content":{"rendered":"\n<p>A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?<\/p>\n\n\n\n<p>A.<br>Ensure the device is kept below the level of the client&#8217;s chest.<\/p>\n\n\n\n<p>B.<br>Clamp the chest tube every 4 hr.<\/p>\n\n\n\n<p>C.<br>Place the client in a supine position.<\/p>\n\n\n\n<p>D.<br>Empty the collection chamber every 8 hr.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct intervention for the nurse to include in the plan of care for a client with a chest tube set to continuous suction to relieve a pneumothorax is:<\/p>\n\n\n\n<p><strong>A. Ensure the device is kept below the level of the client&#8217;s chest.<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>A chest tube is used to remove air, fluid, or blood from the pleural space to allow the lungs to expand properly. It is crucial for the chest tube system to function effectively to promote proper lung re-expansion and prevent complications.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Positioning of the Device<\/strong>:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The chest tube drainage system must be kept below the level of the client&#8217;s chest. This positioning uses gravity to facilitate drainage of air, fluid, or blood from the pleural space into the collection chamber. If the drainage system is not lower than the chest, it could lead to backflow, potentially causing complications such as infection or impaired drainage.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Clamping the Chest Tube<\/strong>:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clamping the chest tube should generally be avoided unless specifically ordered by a healthcare provider for a brief period, such as during tube removal or changing the drainage system. Routine clamping every 4 hours is not recommended as it can lead to tension pneumothorax if air or fluid accumulates rapidly and cannot escape.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Client Positioning<\/strong>:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The client&#8217;s position should be adjusted based on their comfort and clinical needs. While a supine position is sometimes used, it is not always ideal for chest tube drainage. The client may be positioned semi-Fowler&#8217;s or Fowler&#8217;s to help with lung expansion and drainage.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Emptying the Collection Chamber<\/strong>:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The collection chamber should be monitored for fluid levels, but it is not necessary to empty it every 8 hours routinely. The timing for emptying the collection chamber depends on the volume of drainage and institutional protocols. Overfilling should be avoided, but unnecessary emptying could disrupt the system.<\/li>\n<\/ul>\n\n\n\n<p>Therefore, ensuring the chest tube drainage system remains below the level of the client&#8217;s chest is essential for the effective removal of air or fluid from the pleural space and for preventing complications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include? A.Ensure the device is kept below the level of the client&#8217;s chest. B.Clamp the chest tube every 4 hr. C.Place the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137533","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137533"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137533\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}