FREE NURSING AND STUDY GAMES ABOUT TL CHEST

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FREE NURSING AND STUDY GAMES ABOUT TL CHEST

TUBES EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -61 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: What do we check when assessing the chest drainage system (5)?

Answer:

system below patient's chest, free of kinks, dependent loops, obstruction; color and amount of drainage; dressing and subcutaneous emphysema; tidaling (ok) or continuous bubbling (bad) in water seal chamber Question 2: What is the function of the collection chamber in a chest drainage unit?

Answer:

to collect drainage from the patient's pleural space, allow for visual inspection of the nature of drainage, and measure output Question 3: What signs/symptoms would alert the nurse to the possibility that her patient with a chest tube has developed a pneumothorax?

Answer:

respiratory distress not relieved or worsened after chest tube placement, sharp stabbin chest pain w/wo decreased BP and increased heart rate

Question 4: Name the three chambers of a pleural drainage system.

Answer:

collection, water-seal, suction control

Question 5: Discuss the use of Chest X-ray for the client with a chest tube.

Answer:

CXR are used to check tube position and whether lung has re-expanded

Question 6: What does no bubbling in the water seal chamber mean?

Answer:

not enough suction, healed pneumothorax, clot or kink in tubing

Question 7: How do we find the location of a leak?

Answer:

By progressively moving clamps from the insertion site on down the tube until bubbling stops. When bubbling stops the leak is above the last clamp placed.

Question 8: When are there bubbles in the water seal chamber?

Answer:

When first connected (air in system and from patient's interpleural space), but should stop and become intermittent after a short time. Intermittent bubbling can be seen with exhalation, coughing or sneezing, continuous bubbling indicates a leak Question 9: What education should the RN provide to assistive personnel regarding care of the client with a chest tube? (P,BBCCEDSV)

Answer:

Proper positioning to facilitate drainage, report changes in vital signs, comfort level, SpO2, excessive bubbling in water-seal chamber, disconnection, change in drainage, bleeding , or bubbles stop

Question 10: What size are chest tubes?

Answer:

large bore usually 34 -36 French)

Question 11: Where does the chest tube go if air is to be removed from the pleural space?

Answer:

anteriorly through the second intercostal space - usually on the anterior aspect of the midclavicular line, second or third intercostal space Question 12: Why do some clinicians use the 4th and 5th anterior or midaxillary intercostal space for chest tube insertion? How does this work for fluid or air removal?

Answer:

To prevent dissection of the pectoral muscles; tube is directed upward for air removal and downward for fluid removal

Question 13: How does a one way valve system work?

Answer:

the tube collapses on inspiration and opens on expiration (or when chest pressure exceeds atmospheric pressure)

Question 14: What happens immediately after the tube is placed?

Answer:

the tube is connected to the chest drainage system and the MD sutures the tube to the chest wall

Question 15: Define empyema (Say 'M' Pie 'E' mah).

Answer:

purulent pleural fluid Question 16: What signs/symptoms would alert the nurse to respiratory distress in the patient with a chest tube?(ACDHST)

Answer:

asymmetrical chest movements, cyanosis, decreased breath sounds, hypotension, subcutaneous emphysema at insertion site/neck, tachycardia Question 17: What is the nurse's responsibility if the CT is accidently removed?

Answer:

cover wound with occlusive dressing (in an emergency a gloved hand will work); tape 3 sides, leave one open to avoid tension pneumothorax

Question 18: What will the nurse check during assessment of the patient with a chest tube?(BCDDubILPSSTkdcV)

Answer:

Breath sounds over affected lung,Chest pain,Dressing,Drainage system - upright and below level of tube insertion,Insertion site LOC,Pain scale,Signs respiratory distress,SpO2,Tubing for kinks, dependent loops, clots; Vital signs,

Question 19: What are some potential causes of pneumothorax?

Answer:

traumatic chest injury, thoracotomy,and spontaneous in tall thin people Question 20: What is the nurse looking for when she assesses the insertion site of the chest tube patient?

Answer:

dressing is intact, no air or fluid leaking, area around site is free of drainage or skin irritation

Question 21: Define pneumothorax.

Answer:

air in the pleural space Question 22: Discribe how a chest tube is removed (4). How long does it usually take for the incision to heal?

Answer:

provide medication 30 minutes before procedure, patient is instructed to bear down and cough while tube is quickly removed, Vaseline gauze and sterile dressing placed over site, monitor for respiratory distress after; usually takes about a week to heal Question 23: What is the function of the suction chamber of a chest drainage unit?

Answer:

The water level has to do with the strength of suction to the patient. The more the tube in this chamber is submerged the more suction to the patient.

Question 24: Where does the chest tube go if fluid is to be removed?

Answer:

posteriorly through the 8th or 9th intercostals space midaxillary line