Force Completion This test can be saved and resumed later This test does not all

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Force Completion This test can be saved and resumed later This test does not allow backtracking, Changes to the answer after submission are prohibited Question Completion Status Moving to the next question prevents changes to this answer. Question 1 Which statement is of greatest concern to the nurse when giving care to a patient with chest tubes? O Clots commonly form inside the chest tube O Periodic milking of the chest tubes is necessary to maintain patenicy. o Chest tubes must be clamped when transporting the patient O The system should never be higher than the patients chest Moving to the next question prevents changes to this answer 11 4 5 6 7 8 9

Explanation / Answer

Answer: The system should never be higher than the patient chest.

Explanation:

Nursing care: From patient to system

No less than at regular intervals, archive a complete pneumonic appraisal, including respiratory rate, work of breathing, breath sounds, and blood vessel oxyhemoglobin immersion estimated by beat oximetry (SpO2). Review the dressing and note any waste. Survey the addition site for subcutaneous emphysema and tube relocation. Chest Tube Care fundamentals: Keep all tubing free of wrinkles and impediments; for example, check for tubing underneath the patient or squeezed between bed rails. Find a way to anticipate liquid filled ward circles, which can block seepage.

To advance waste, keep the CDU beneath the level of the patient's chest. Screen water levels in the water-seal and suction-control chambers. Water in the two chambers vanishes, so make sure to add water occasionally to keep up the water-seal and suction levels.

Know that tidaling—vacillations in the water-seal chamber with respiratory exertion—is ordinary. The water level increments amid unconstrained motivation and declines with lapse. In any case, with positive-weight mechanical ventilation, tidaling changes are the inverse: the water level declines amid motivation and increments amid lapse. In the case of tidaling doesn't happen, suspect the tubing is wrinkled or clasped, or a needy tubing segment has turned out to be loaded with liquid. Likewise, don't expect tidaling with finish lung development or with mediastinal tubes, since breaths don't influence tubes outside the pleural space.

Irregular foaming, relating to breaths in the water-seal chamber, shows an air spill from the pleural space; it should resolve as the lung reexpands. In the event that rising in the water-seal chamber is persistent, suspect a break in the framework. To find the release's source, for example, a free association or from around the site, survey the framework from the inclusion site back to the CDU. While hunting down the wellspring of an air spill, utilize elastic tipped or cushioned clips to immediately brace the tubing at different focuses; percolating stops when you clasp between the air hole and water seal. In the event that you've clasped along the tube's whole length and still can't discover the source, the CDU may be flawed; substitution ought to be considered.

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