NCLEX questions: Chest Trauma

NCLEX questions: Chest Trauma

(Pneumothorax/Hemothorax), Tuberculosis, Pulmonary Embolism,Chest Tube 5.0 (1 review) Terms in this set (64) Science MedicineNursing Save You are providing care to a patient with a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the CORRECT nursing intervention for this type of finding?

• Reposition the patient because

the tubing is kinked.

• Continue to monitor the drainage

system.

• Increase the suction to the

drainage system until the bubbling stops.

• Check the drainage system for an

air leak.D

A patient is receiving positive pressure mechanical ventilation and has a chest tube. When assessing the water seal chamber what do you expect to find?*

• The water in the chamber will

increase during inspiration and decrease during expiration.

• There will be continuous bubbling

noted in the chamber.

• The water in the chamber will

decrease during inspiration and increase during expiration.

• The water in the chamber will not

move.C What type of chest tube system does this statement describe? This chest drainage system has no water column to control suction but uses a suction monitor bellow that balances the wall suction and you can adjust water suction pressure using the rotary suction dial on the side of the system. It allows for higher suction pressure levels, has no bubbling sounds, and water does not evaporate from it as with other systems.*

• Mediastinal chest tube system
• Dry suction chest tube system
• Wet suction chest tube system
• Dry-Wet suction chest tube

system B

The patient in room 2569 calls on the call light to tell you something is wrong with his chest tube. When you arrive to the room you note that the drainage system has fallen on its side and is leaking drainage onto the floor from a crack in the system.What is your next PRIORITY?*

• Place the patient in supine

position and clamp the tubing.

• Notify the physician immediately.
• Disconnect the drainage system

and get a new one.

• Disconnect the tubing from the

drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system.D

You're assessing a patient who is post-opt from a chest tube insertion.On assessment, you note there is 50 cc of serosanguinous fluid in the drainage chamber, fluctuation of water in the water seal chamber when the patient breathes in and out, and bubbling in the suction control chamber. Which of the following is the most appropriate nursing intervention?*

• Document your findings as

normal.

• Assess for an air leak due to

bubbling noted in the suction chamber.

• Notify the physician about the

drainage.

• Milk the tubing to ensure patency

of the tubes.A A patient is recovering from a pneumothorax and has a chest tube present. Which of the following is an appropriate finding when assessing the chest tube drainage system?*

• Intermittent bubbling may be

noted in the water seal chamber.

• 200 cc of drainage per hour is

expected during recovery of a pneumothorax.

• The chest tube is positioned at the

patient's chest level to facilitate drainage.

• All of these options are

appropriate findings A