SIP3: Chest tube

How frequent should you change the chest tube dressing?

• Every 24 hours

• Every 72 hours

• Every 7 days

• Every shift

What is the solution and amount needed to create the underwater seal for chest tube bottle?

• 45mls of water for injection

• 45mls of Normal Saline

• 25mls of water for injection

• Not required

Which is/ are the bedside essential item(s) for patient with chest tube?

• Two tube clamps

• One set of sterile chest drainage system

• Chest tube insertion kit box

• Two tube clamps, one pack of sterile gauze and Elastoplast

Which of the following statement is incorrect regarding chest tube management?

• Perform visual check of patient and drainage system at least every 4 hourly ​

• • Ensure the drainage bottle is being placed below patient's chest level

• • Drainage bottle to be changed when full or every 3 days ​

• To maintain underwater seal at the dotted line

A chest tube can be clamped except____.

• To change the drainage system

• when transporting patient ​

• To assess air leak

• When ordered by the doctor

Which is NOT the indication for chest tube insertion?

• Pleural effusion 

• Pneumothorax

• Pneumonia

• Hemothorax

Continuous bubbling in underwater seal chamber indicates_____

• Air leak

• Blocked tube

• Suction too high

• insufficient underseal water

If the drainage tubing accidentally disconnects from the chest drain, the nurse should do the following except____

• notify doctor immediately

• clamp the chest tube

• Observe patient continually for change of vital signs and SpO2

• Reconnect back the tube immediately

1. What should the nurse do IMMEDIATELY if chest tube dislodges from the insertion site?​

• • Cover the insertion site with a sterile gauze and elastoplast

• Prepare for reinsertion of the chest tube

• Cover the insertion site with a sterile gauze and micropore

• Send patient for X-ray

1. How is a specimen collected from the system?

• From suction tubing

• From needless sampling port

• From water seal

• Use needle and syringe to punch a hole from chest tubing