Chest Tube and Drains

Nurse should contact the HCP when fluid drainage is greater than?

• 100 mL/hr

• 45 mL/hr

• 15 mL/hr

• 135 mL/hr

Continuous bubbling in which chamber is indicative of an air leak?

• Vacuum chamber

• Tension chamber

• Water-seal chamber

• Suction control chamber

For a pneumothorax, a chest tube is inserted where?

• The eighth intercostal space

• The second intercostal space.

• On the proximal portion of the fifth intercostal space

• Distal to the injury

During transport the chest tube gets disconnected from the CDU and cannot be reconnected, the nurse should immediately…

• Leave in place and contact the HCP

• Wrap in sterile gauze and secure with tape

• Immediately immerse in (2cm) sterile water

• Lift exposed in above the level of the patient's heart

Lack of bubbling is abnormal in which chamber

• Air leak chamber

• Water-seal chamber

• Collection chamber

• Suction control chamber for water suction CDU

Gentle milking is preformed to

• Remove/Move viscous fluid.

• Remove air bubbles

• Speed the removal of air

• Push fluid in the distal direction

Tidaling is an expected finding in which chamber of CDU?

• Tidaling is an emergency and the HCP should be notified

• Water-seal chamber

• Suction control chamber

• Collection chamber

ROM exercises can prevent which complication of chest tubes

• Back pain

• Frozen shoulder

• Elevated ICP

• Infection

Chest tubes reestablish what type of pressure?

• Peer pressure

• Positive pressure

• Med-Surg pressure

• Negative pressure

It is SUPER important to do what prior to the removal of a chest tube?

• Explain the care of the insertion site after the removal

• Obtain informed consent from patient

• Administer pain Rx 30-60 minutes before procedure

• Ensure the patient has normal respirations