Author Question: Which of the following is an expected outcome of chest tube insertion? a. Mild chest pain is ... (Read 141 times)

brutforce · **on:** Jun 25, 2018

Which of the following is an expected outcome of chest tube insertion?

a. Mild chest pain is maintained.
b. Breath sounds are auscultated in all lobes.
c. Drainage from the pleural cavity increases over time.
d. Lung expansion is increased beyond the unaffected side.

Question 2

What condition is indicated when a patient with a chest tube experiences sharp, stabbing chest pain without a change in pulse or blood pressure?

a. Pneumonitis
b. Tube displacement
c. A myocardial infarction
d. A tension pneumothorax

Anonymous · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
When breath sounds are auscultated in all lobes, lung expansion is symmetrical, oxygen saturation (SaO2) is stable or improved, and respirations are nonlabored. Chest pain is not an expected outcome. Treatment is effective when the patient reports no chest pain. Drainage from the pleural cavity decreases over time with reexpansion of the lung. Lung expansion would be equal to preinjury status.

Answer to Question 2

D
Sharp, stabbing chest pain with or without decreased blood pressure and increased heart rate may indicate a tension pneumothorax. A chest tube is not an expected treatment for pneumonitis. Tube displacement is an unexpected outcome and can lead to increased pneumothorax. Immediately apply pressure over the chest tube insertion site. Myocardial infarction pain is expressed as crushing or pressure over the sternal area.