For the adult client with a mediastinal chest tube, the expected ...

[mynx]

For the adult client with a mediastinal chest tube, the expected amount of drainage is:
 
  A. Less than 50 to 200 ml/hour during the immediate postoperative period
  B. Less than 10 ml/hour during the immediate postoperative period
  C. 1000 ml/hour during the first 24-hour period.
  D. 200 ml/hour during the first 24-hour period.

Question 2

An appropriate technique is followed while providing care for a client with chest tubes when a nurse:
 
  A. Applies an occlusive dressing over the site
  B. Strips the tube on a regular basis
  C. Assesses the client hourly after insertion
  D. Keeps excess loops of tubing from hanging over the side of the bed

[meow1234]

Answer to Question 1

A
A. In the adult less than 50 to 200 ml/hr is expected immediately after surgery in a mediastinal chest tube.
B. There is no standard for 10 ml/hour in immediate postoperative period.
C and D. The 24-hour rate is 500 to 1000 ml/hour.

Answer to Question 2

D
D. Coil excess tubing on mattress next to the client. Secure with a rubber band and safety pin or the system's clamp. Prevents excess tubing from hanging over the edge of the mattress in a dependent loop. Drainage could collect in the loop and occlude the drainage system.
A. Physician responsibility in chest tube placement includes covering the insertion site with sterile petroleum gauze, 4  4 inch gauze, and large dressing to form an occlusive dressing supported with an elastic bandage.
B. Strip or milk chest tube only if indicated (this means compressing the tube to encourage clots to press through the tube. Stripping may cause complications because it creates excessive negative intrapleural pressure.
C. Monitor vital signs, oxygen saturation, and insertion site every 15 minutes for the first 2 hours.

[mynx]

TYSM

[T4T]

Excellent