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Worksheetschest tube
Total questions: 16
Worksheet time: 14mins
Chest tubes are used for ...
Select all that apply
Facilitate the evaluation of fluid, blood and air from the pleural space
To promote re-expansion of the lung
To restore negative pressure to the pleural space
Provide medication to the lungs
Indications for a chest tube include
( Select all that apply)
Empyema
Pleural Effusion
Hemothorax
Pulmonary embolism
Pneumothorax
Expected outcome of a chest tube is
Tension Pneumothorax
Subcutaneous emphysema
Bubbling in water seal chamber
Tidaling noted in the water seal chamber
An unexpected outcome of chest tube is
Improved respiratory status
Removal of air from chest cavity
fever, purulent drainage,
removal of blood from the chest cavity
Circle the water seal chamber
What letter represents the Collection Chamber
(a)
Care of the chest tube include
Select all that apply
Ensuring chest tube is below chest level
Emptying collection chamber daily
Ensuring no kinks
Monitoring collection in the collection chamber- output color and amount
True or False- water level in waterseal chamber rising and falling with respirations is a normal finding
(a)
What indicate a possible removal of chest tube
Low output < 200 in 24 hrs
improved respiratory status
Increased drainage
No need for suction
Which of the following is NOT a typical sign of a pneumothorax?
Sudden chest pain
Shortness of breath
Decreased breath sounds on one side
Increased blood pressure
True or False: You would hook the chest tube to the suction canister white open outlet.
True
False
True or False: You would attach the chest tube directly to the vacuum outlet.
True
False
Which is not true about caring for a Chest tube - Select all that apply
If the atrium tips over- carefully tip the atrium back to get fluid in one chamber
Surgery are the only ones who can document output
If chest tube falls out- call Surgery immediately and place 3 sided dressing w regular gauze
If atrium tips over- may change atrium but need to keep old one till surgery assesses it
Which is true of stripping of the chest tube ( Select all that apply)
Stripping the entire length is to be done daily
Stripping of the entire length- can produce transient high negative pressure in pleural space- which is bad
Stripping of the entire length of the tube- Can cause damage to the tissues in the pleural space
Stripping of the entire length of the tube-Is contraindicated
Which is true about the Waterseal Chamber
Allows patient to move air that is trapped in the pleural space
Prohibits air from the re-entering the pleural space
Bubbles seen in the water seal= air leak- air moving out of the pleural space
Controls amount of suction applied to the chest tube
Collects the fluid being drained
True or False: If ordered continuous suction is ordered- patient must remain in bed at all times
(a)
