A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Wire cutters

Tracheostomy tray

Padded clamp

Sand bag

Answer and Explanation

The Correct Answer is C

A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.

B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.

C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.

D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.

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Correct Answer is D

Explanation

A. Empty the collection chamber every 8 hr – Incorrect. The collection chamber is not emptied; instead, it is replaced when full to prevent air re-entry.

B. Check the patency of the tubing every 2 hr – While monitoring the tubing is essential, checking patency is not the most specific nursing priority.

C. Keep the drainage system above the level of the client's chest – Incorrect. The system should remain below chest level to prevent backflow of drainage.

D. Ensure 2 cm (0.8 in) of water is in the water seal chamber – Correct. The water seal chamber maintains negative pressure and prevents air from entering the pleural space, making this a crucial step in chest tube management.

A. Discuss a long-term care referral for the client with the provider. B. Review assisted living accommodations with the client. C. Suggest that the client attend adult day care three times per week. D. Instruct the client about the use of telehealth services.

Correct Answer is D

Explanation

A. A referral to long-term care is premature since the client lives independently and may not require institutionalized care.

B. Assisted living accommodations are not necessary unless the client struggles with self-care or safety concerns.

C. Adult day care is beneficial for socialization but does not address the primary issue of diabetes management in a rural setting.

D. Telehealth services allow clients in rural areas to consult with healthcare providers remotely, improving access to care, medication management, and education on diabetes self-care.

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A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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