Deck 29: Caring for the Client With Chest Tube Drainage

Question 1

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

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

Answer 1

D
Explanation:1. The nurse could safely delegate routine care of the client such as bathing or measurement of vital signs if the AP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.
2. The nurse could safely delegate routine care of the client such as bathing or measurement of vital signs if the AP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.
3. The nurse could safely delegate routine care of the client such as bathing or measurement of vital signs if the AP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.
4. The nurse could safely delegate routine care of the client such as bathing or measurement of vital signs if the AP were informed of what data needed to be reported immediately. The other actions require sterile technique or assessment skills, and the nurse should perform them.

Question 2

The assistive personnel (AP) is caring for a client recovering from the removal of a chest tube. Which information should the AP report to the nurse immediately?

A) Client respiratory rate 28
B) Client asking to go home
C) Client requests to sit out of bed
D) Client drinking water at the bedside

Answer 2

A
Explanation:1. A respiratory rate of 28 is abnormal and should be reported to the nurse.
2. The client requesting to go home is not of immediate concern.
3. The client requesting to sit out of bed is not something that needs to be reported to the nurse immediately.
4. The client drinking water is not something that needs to be reported to the nurse immediately.