Which is the function of the water seal chamber on a closed chest drainage system for a client with Hemothorax quizlet?
A. An increase in drainage after ambulation is normal but should be monitored closely. Show
Rationale: An increase, not a decrease, in the amount of drainage from a chest tube is common after ambulation. If the patient had tamponade, the nurse would observe other signs, such as diaphoresis, hypotension, muffled heart sounds, and perhaps tachypnea. If the drainage had become sanguineous and were at least three times the actual output, a ruptured suture line would be a concern. Recommended textbook solutions
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Pharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 382 solutions Health16th EditionRebecca J. Donatelle 391 solutions Global Health 1013rd EditionDouglas Singh, Leiyu Shi 188 solutions - Keep the head of bed at 30 degrees or higher. Fowler's or high-Fowler's position while in bed facilitate lung expansion. - Remind or assist the patient to change position at least every 2 hr. - Help him ambulate every 4 to 6 hr during the day when allowed to enhance lung expansion and drainage. - Administer pain medication so that he can participate in deep breathing, incentive spirometry, and activities of daily living. - Replace the dressing on a regular schedule, or when necessary, using surgical asepsis. - Maintain a closed system by securing all connections. - Secure the chest tube to the chest wall so that it doesn't dislodge during activity. - Develop a schedule for dressing changes and routine position changes to promote drainage and ventilation. - Prevent kinking or occlusion of the chest tube during activity. - Encourage the patient to cough frequently and breathe deeply to help drain the pleural space, expand the lungs and help minimize pain. - Encourage active or provide passive range-of-motion exercises for the patient's arm on the affected side. - Tell the patient to report breathing difficulty immediately. Notify the physician if the patient develops cyanosis, rapid or shallow breathing, subcutaneous emphysema, chest pain, or excessive bleeding. - Observe the patient during ambulation and activities to ensure that the chest tube remains free of kinks and occlusion. Upgrade to remove ads Only SGD 41.99/year
chest trauma- pnuemothorax, rib fractures-flail chest, chest tubes Terms in this set (22)Signs and symptoms associated with a flail chest include A.tracheal deviation toward the unaffected side. C A patient who was an unrestrained driver in a high-speed, head-on motor vehicle collision presents with dyspnea, tachycardia, hypotension, jugular venous distention, tracheal deviation to the left, and decreased breath sounds on the right side. What is the most likely diagnosis? A When the chest x-ray for a client who has arrived at the emergency department with chest trauma shows multiple fractured ribs, which action will the nurse take next? C A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?" Which information would the nurse provide about the purpose of the chest tube? D A client has a wedge resection of a lobe of the lung and now has a chest tube with three-chamber underwater drainage system has which main purpose? C A client experiences a lateral crushing chest injury. Assessment findings include obvious right-sided paradoxical motion of the
chest and multiple rib fractures, resulting in a flail chest. The nurse would monitor the client for which complication? A Which information would the nurse educator include in a presentation on how to care for clients with a chest tube drainage system? SATA ABC After insertion of a central venous catheter through the left subclavian vein, a client reports chest pain and dyspnea and has decreased breath sounds on the left side. Which action would the nurse take first? A Which is the function of the water-seal chamber on a closed chest drainage system for a client with hemothorax? B Which finding best indicates that the chest tube for a client with a pneumothorax may be discontinued? D Mr. Jackle has a right chest tube inserted for a large pneumothorax. Immediately following insertion, the nurse notes that there is no fluctuation or bubbling in the underwater seal. Which one of the following interventions is the priority? D Mr. Sing is admitted to the critical care unit with a closed head injury following a fall from a ladder. He develops respiratory distress and has HR 144, RR 38, BP 60/40 and SpO2 74%. His peak airway pressures increase and his trachea deviates to the right side. Which one of the following interventions is the priority? D Which type of condition does the nurse anticipate in a patient whose diagnostic testing shows blood in the pleural space? A Name 3 complications of chest trauma Flail Chest Describe Becks Triad JVD Name 2 manifestations of Tension Pneumothorax Hypotension Name 2 prescriptions for pneumothorax Oxygen Name 4 important facts in caring for chest drainage systems Keep below chest level MVC patient w/dyspnea, tachycardia, hypotension, JVD, L trach dev., dec. R breath sounds. What is most likely diagnosis? A Which statement is true about a blunt cardiac injury/cardiac contusion? C a patient w/trach dev., absent L breath sounds, hypotension and chest tube w/ 1800mL blood. What surgery is expected? B Patient's condition has declined: flat neck veins, absent L breath sounds, and hypotension. The nurse suspects a B Sets found in the same folderModule 1021 terms heather_muse4PLUS Module 1210 terms heather_muse4PLUS Module 1 practice49 terms heather_muse4PLUS Module 2 practice questions32 terms heather_muse4PLUS Other sets by this creator407 Final52 terms heather_muse4PLUS 405 Midterm9 terms heather_muse4PLUS Prioritization and Delegation Practice questions22 terms heather_muse4PLUS Perfusion/Culture25 terms heather_muse4PLUS Recommended textbook solutions
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What is the function of the water seal chamber in the closed chest drainage system?This chamber is typically on the far right side of the system (Teleflex Medical Incorporated, 2009). Water-seal chamber: This chamber has a one-way valve that allows air to exit the pleural cavity during exhalation but does not allow it to re-enter during inhalation due to the pressure in the chamber.
What is the purpose of a chest tube drainage system for a Hemothorax?Physicians use a chest tube into create negative pressure in the chest cavity and allow re-expansion of the lung. It helps remove air (pneumothorax), blood (hemothorax), fluid (pleural effusion or hydrothorax), chyle (chylothorax), or purulence (empyema) from the intrathoracic space.
What are the functions of a chest tube and drainage system in a patient with chest trauma that causes a Hemothorax and or a pneumothorax?The goal of treatment is to get the person stable, stop the bleeding, and remove the blood and air in the pleural space. A chest tube is inserted through the chest wall between the ribs to drain the blood and air. It is left in place and attached to suction for several days to re-expand the lung.
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