A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?<\/p>\n\n\n\n
A.
Continue to monitor the client’s respiratory status.<\/p>\n\n\n\n
B.
Check the suction control outlet on the wall.<\/p>\n\n\n\n
C.
Clamp the chest tube.<\/p>\n\n\n\n
D.
Check the tubing connections for leaks.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. Check the tubing connections for leaks<\/strong>.<\/p>\n\n\n\n In a closed chest drainage system, the bubbling in the suction control chamber indicates that the system is actively applying suction to the pleural space, which is necessary to re-expand the lung and remove air or fluid. Typically, steady bubbling in the suction control chamber signifies that the system is functioning correctly and maintaining the appropriate level of suction. However, any change in bubbling patterns or unexpected issues may indicate a problem with the system.<\/p>\n\n\n\n Here’s a breakdown of the options:<\/p>\n\n\n\n A. Continue to monitor the client’s respiratory status.<\/strong> B. Check the suction control outlet on the wall.<\/strong> C. Clamp the chest tube.<\/strong> D. Check the tubing connections for leaks.<\/strong> Therefore, the best initial action is to check the tubing connections for leaks to ensure that the drainage system is functioning correctly and to resolve the issue with the bubbling in the suction control chamber.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take? A.Continue to monitor the client’s respiratory status. B.Check the suction control outlet on the wall. C.Clamp the […]<\/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-140032","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140032","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=140032"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140032\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140032"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
While monitoring the client’s respiratory status is crucial, it does not directly address the issue with the bubbling observed in the suction control chamber. Respiratory status monitoring is important for evaluating the effectiveness of the drainage system and the client’s overall condition but does not resolve issues with the drainage system itself.<\/p>\n\n\n\n
Checking the suction control outlet is relevant if there is no bubbling or if the suction is not working properly. However, since the issue here is slow, steady bubbling (which indicates some level of suction is present), the problem may not lie with the wall suction outlet but rather with the connections or system itself.<\/p>\n\n\n\n
Clamping the chest tube is generally not advised unless absolutely necessary, as it can lead to complications such as tension pneumothorax or impede the drainage of air or fluid. Clamping is typically reserved for specific situations like checking for leaks or during system changes and should not be the initial action in response to bubbling issues.<\/p>\n\n\n\n
If there is slow, steady bubbling in the suction control chamber, it could indicate that there is a leak in the system, which can prevent the system from maintaining appropriate suction. Checking the tubing connections for leaks is a critical step to ensure that the system is working as intended and to address any potential issues causing improper bubbling patterns.<\/p>\n\n\n\n