Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Respiratory
Chest tubes and closed drainage systems
| Question | Answer |
|---|---|
| What disorder results from excess air in the pleural space? | Pneumothorax |
| The diaphragm moves down during ___________ | inspiration |
| During elastic recoil of the lungs the intercostal muscles ___________ | relax |
| The two pleural membranes are the: | Visceral and parietal pleurae. |
| Trapped air in the pleural space can result in: | Tension pneumothorax |
| Symptoms of pneumothorax are: | Tachycardia Hypotension Tachypnea |
| Chest tubes and closed chest drainage systems relieve a pneumothorax by: | Restoring negative pressure in the pleural space |
| Before chest tube insertion, which key step takes priority? a. ask the patient to bear down. b. check the serum electrolyte levels. c. attach the drainage system to the wall suction. d. ensure the physician obtains informed consent. | correct answer: D. Ensure the physician obtains informed consent. |
| what are the three chambers found in a closed drainage system that uses wet suction? | Water seal, suction control, and drainage collection chambers. |
| The water seal chamber _______ | detects air leaks. |
| Compared to closed chest drainage systems with wet suction, drainage systems with dry suction are often used to ____________________ | provide high negative pressure |
| what is the best position for a patient about to undergo chest tube insertion to treat a pneumothorax? | Upright seated position, leaning over table. |
| when a patient has a chest drainage system with dry suction, which of the following controls the amount of suction the patient receives: | the amount of suction on the suction control regulator. |
| the physician orders gravity drainage for your patient with a chest tube. This means that the suction tubing should be __________ | left open to air. |
| what is the correct order of dressing, from the chest wall out? | Petrolatum gauze, fenestrated gauze, occlusive gauze, tape. |
| Hypotension and tachycardia are signs of a __________ ___________ | tension pneumothorax |
| Your patient with a left-sided pneumothorax undergoes chest tube insertion and closed chest drainage. Two days later, you auscultate diminished breath sounds at the apex of the left lung. what should you suspect? | Unresolved pneumothorax. |
| The nurse should encourage ___________________ as an intervention that can help promote lung reinflation in a patient with a chest tube. | coughing and deep breathing. |
| when palpating around your patient's chest tube insertion site, you detect crepitation. what complication do you suspect? | subcutaneous emphysema. |
| you notice a steady rise and fall of the water level in the water seal chamber. how should you document this? | document as normal tidaling. |
| you notice an absence of tidaling in the water seal chamber. what is a possible cause of this? | resolution of the pneumothorax. |
| what action can you take to identify the location of an air leak? | clamping the tubing at intervals. |
| the physician plans to remove the patient's chest tube. what signs would suggest that the pneumothorax has resolved? | clear lung sounds that extend to the periphery. |
| during chest tube removal, you should make sure that the patient ____________. | bears down. |
| What type of dressing should you apply after the chest tube is removed? | Apply petrolatum gauze. |
| the patient will undergo _______ to detect the recurrence of a pneumothorax. | a chest x-ray |
| subcutaneous erythema can result from _______________ at the chest tube inertion site. | inadequate seal (air leak). |
Created by:
myt1462