Author Question: A physician prescribes the use of water-seal chest tube drainage for a client with a severe pleural ... (Read 90 times)

Jkov05 · **on:** Jul 22, 2018

A physician prescribes the use of water-seal chest tube drainage for a client with a severe pleural effusion. What should the nurse ensure when using the water-seal chest tube drainage?

A) Filters need to be cleaned regularly to avoid unpleasant taste or smell.
B) The chest tube should not be separated from the drainage system unless clamped.
C) A nasal cannula should be used to administer oxygen when cleaning the opening.
D) A secondary source of oxygen should be available in case of power failure.

Question 2

A patient is diagnosed with renal insufficiency. The results of an ABG analysis indicate metabolic acidosis. In metabolic acidosis, the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.

Fill in the blank(s) with correct word

softEldritch · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
When using water-seal chest tube drainage, the nurse should never separate the chest tube from the drainage system unless clamped. Even then, the tube should be clamped only briefly. When using an oxygen concentrator as a source of oxygen, the nurse should clean the filter regularly to avoid an unpleasant taste or smell. A secondary source of oxygen should also be available in case of a power failure. When cleaning a transtracheal catheter, oxygen needs to be administered with a nasal cannula.

Answer to Question 2

7.35; 22
The normal arterial blood pH value is 7.35 to 7.45 (acidic is less than 7.35, and alkalotic is greater than 7.45). The normal range of bicarbonate (HCO3-) is 22 to 26 mEq/L. Levels below 22 mEq/L usually indicate metabolic acidosis.