Author Question: A client with a chest tube who experiences sharp stabbing chest pain without a change in pulse or ... (Read 43 times)

jace · **on:** Jul 23, 2018

A client with a chest tube who experiences sharp stabbing chest pain without a change in pulse or blood pressure may have:

A. Pneumonitis
B. Tube displacement
C. A myocardial infarction
D. A tension pneumothorax

Question 2

Continuous bubbling in the water-seal chamber with no bubbles noted in the suction control chamber indicates:

A. A leak in the system
B. Normal functioning
C. A drainage obstruction
D. Insufficient suction pressure

CourtneyCNorton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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

Answer to Question 2

A
A. Continuous bubbling in the water-seal chamber with an absence of bubbles in the suction control chamber indicates that there is a leak in the system.
B. Normal functioning is gentle, continuous bubbling in the suction chamber and occasional bubbling in the water-seal chamber with fluctuations with inspiration and expiration.
C. Constant bubbling in the water-seal chamberor a sudden, unexpected stoppage of water-seal activity is considered abnormal and requires immediate attention.
D. Insufficient suction pressure results in little to no bubbling in the suction chamber.