Deck 29: Caring for the Client With Chest Tube Drainage

Question 1

When assisting the health care provider with removal of the chest tube,which instruction does the nurse provide to the client during this procedure?

A)Breathe normally
B)Hold still
C)Hold breath
D)Cough

Answer 1

Hold breath

Question 2

The nurse is caring for a client who has a small pneumothorax and is capable of being ambulatory.Which prescription does the nurse anticipate when caring for this client?

A)Chest tube placed in the upper chest on the side of the pneumothorax
B)Chest tube placed in the lower chest on the side of the pneumothorax
C)Heimlich chest drain valve in the upper chest on the side of the pneumothorax
D)Heimlich chest drain valve in the lower chest on the side of the pneumothorax

Answer 2

Heimlich chest drain valve in the upper chest on the side of the pneumothorax

Question 3

When caring for a client with a chest tube in place,the nurse maintains safety by keeping which items at the client's bedside at all times?

A)Bag and mask with oxygen supply
B)Two rubber-tipped clamps,gauze,and petroleum gauze
C)Emergency phone numbers
D)An extra chest tube of the same size inserted into the client

Answer 3

Two rubber-tipped clamps,gauze,and petroleum gauze

Question 4

The postoperative cardiac surgery client has an accumulation of fluid in the pleural space 2 weeks after surgery.Which term will the nurse use to explain this condition to the client and family?

A)Pneumothorax
B)Hemothorax
C)Pleural effusion
D)Pulmonary edema

Question 5

The nurse is caring for a client who has a chest tube in place.Which action by the nurse is appropriate in regards to monitoring intake and output?

A)Drawing a line next to the level of the drainage on the drainage system with the time and date
B)Documenting the action in the nursing notes
C)Recording data on a chest tube drainage flow sheet
D)Documenting the information in primary care provider's notes

Question 6

The nurse is providing care to a client who may need a chest tube inserted during a surgical procedure.Which medications on the client's medication administration record (MAR)would cause the nurse to notify the health care provider prior to surgery?

A)Aspirin
B)Warfarin
C)Heparin
D)Hydrocodone
E)Acetaminophen

Question 7

During a chest tube insertion,which actions are appropriate for the nurse to complete?

A)Provide emotional support to the client.
B)Monitor the client's condition and reaction to the procedure.
C)Dress the insertion site.
D)Prepare the equipment.
E)Insert the chest tube.

Question 8

Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A)Assisting the health care provider with insertion of the chest tube
B)Assisting the health care provider with the removal of the chest tube
C)Measuring chest tube drainage
D)Bathing the client and measuring vital signs