When caring for a client with a chest tube in place, the nurse ...

[TVarnum]

When caring for a client with a chest tube in place, the nurse maintains safety by keeping which items at the client's bedside at all times?
 
  1. Bag and mask with oxygen supply
  2. Two rubber-tipped clamps, gauze, and petroleum gauze
  3. Emergency phone numbers
  4. An extra chest tube of the same size inserted into the client

Question 2

When assisting the health care provider with removal of the chest tube, which instruction does the nurse provide to the client during this procedure?
 
  1. Breathe normally
  2. Hold still
  3. Hold breath
  4. Cough

[elizabethrperez]

Answer to Question 1

Correct Answer: 2

Two rubber-tipped clamps should be kept at the bedside in case the tube requires rapid clamping to prevent air from entering the pleural space. Gauze and petroleum gauze are kept close by to create an airtight seal should the chest tube accidentally be dislodged. A bag and mask should be kept at the bedside of any client with respiratory disorders. Emergency phone numbers should be written on all facility phones. There would be no need to keep an extra chest tube at the bedside, because there would be time to obtain this while waiting for the health care provider to arrive.

Answer to Question 2

Correct Answer: 3

The client should be instructed to hold his breath to prevent air from leaking into the pleural space while the tube is removed until an airtight seal can be applied using petroleum gauze. The other actions are incorrect.

[TVarnum]

Excellent

[Jossy]

TYSM