{"id":142458,"date":"2024-09-22T05:37:39","date_gmt":"2024-09-22T05:37:39","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142458"},"modified":"2024-09-22T05:37:42","modified_gmt":"2024-09-22T05:37:42","slug":"a-nurse-is-caring-for-a-client-who-has-a-chest-tube-in-place-connected-to-a-closed-chest-drainage-system","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/22\/a-nurse-is-caring-for-a-client-who-has-a-chest-tube-in-place-connected-to-a-closed-chest-drainage-system\/","title":{"rendered":"A nurse is caring for a client who has a chest tube in place connected to a closed chest drainage system."},"content":{"rendered":"\n<p>A nurse is caring for a client who has a chest tube in place connected to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client&#8217;s lung has re-expanded?<\/p>\n\n\n\n<p>A.<br>Occasional bubbling in the water-seal chamber<\/p>\n\n\n\n<p>B.<br>No reports of pleuritic chest pain<\/p>\n\n\n\n<p>C.<br>No tidaling in the water-seal chamber<\/p>\n\n\n\n<p>D.<br>Oxygen saturation of 95%<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>C. No tidaling in the water-seal chamber<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>A chest tube is placed to remove air, blood, or fluid from the pleural space to allow the lung to re-expand fully. The closed chest drainage system typically has three chambers: the collection chamber, the water-seal chamber, and the suction control chamber. The water-seal chamber is crucial because it acts as a one-way valve, allowing air to escape from the pleural space while preventing it from re-entering the chest cavity.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Tidaling in the Water-Seal Chamber:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Tidaling refers to the fluctuation of water within the water-seal chamber that occurs with the client&#8217;s respiration. As the client inhales, the water level rises, and as the client exhales, the water level falls.<\/li>\n\n\n\n<li>Tidaling indicates that the pleural space still has a connection with the drainage system, suggesting that the lung has not fully re-expanded or there is still air or fluid in the pleural space.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Absence of Tidaling:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The absence of tidaling, on the other hand, is a significant sign that the lung has fully re-expanded. When the lung re-expands and fills the pleural space, there is no longer air or fluid between the pleura and the chest tube, and the fluctuation (tidaling) stops. This absence indicates that the pleural space has normalized, and the negative pressure in the pleural space has been restored, which means the lung is no longer collapsing and has re-expanded completely.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Incorrect Options:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Occasional bubbling in the water-seal chamber:<\/strong> Bubbling in the water-seal chamber indicates an air leak. Occasional bubbling may be seen early after chest tube insertion, but it should decrease as the lung re-expands. If bubbling continues, it could signify that air is still escaping from the pleural space, which means the lung hasn\u2019t fully re-expanded.<\/li>\n\n\n\n<li><strong>B. No reports of pleuritic chest pain:<\/strong> The absence of chest pain could suggest improvement, but it is not a reliable indicator of lung re-expansion. Pain can diminish as the cause of pleuritis resolves, but the lung may still not be fully expanded.<\/li>\n\n\n\n<li><strong>D. Oxygen saturation of 95%:<\/strong> Oxygen saturation within normal limits is a positive sign of adequate oxygenation, but it is not an accurate marker of lung re-expansion. The client can have acceptable oxygen levels even with a partially collapsed lung.<\/li>\n<\/ul>\n\n\n\n<p>In conclusion, <strong>no tidaling<\/strong> in the water-seal chamber is the best clinical sign that the lung has re-expanded, making option C the correct choice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is caring for a client who has a chest tube in place connected to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client&#8217;s lung has re-expanded? A.Occasional bubbling in the water-seal chamber B.No reports of pleuritic chest pain C.No tidaling in the water-seal chamber [&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-142458","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142458","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=142458"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142458\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}