The nurse is caring for a client with a chest tube. Which is the following statements is appropriate regarding a chest tube?
The chest tube drainage system should be placed on the bedside table.
The chest tube drainage system should be placed on the bed near the patient.
The chest tube drainage system must be placed below the site of insertion.
The chest tube drainage system should be placed on the siderail near the patient.
The Correct Answer is C
: Chest tube placement is done to remove air or fluid from the pleural space, which is the area between the lungs and the chest wall. The chest tube drainage system is an important tool to monitor and manage the drainage from the chest tube.
It is essential that the chest tube drainage system is placed below the level of the patient's chest and the site of insertion. This is necessary to create a continuous drainage system by allowing gravity to assist in the flow of air or fluid out of the pleural space. If the chest tube drainage system is placed above the insertion site, the fluid will not drain properly, which can cause the fluid to back up into the patient's chest cavity, leading to complications such as pneumothorax or hemothorax.
Therefore, the appropriate statement regarding a chest tube is that the chest tube drainage system must be placed below the site of insertion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
c. Sip the water he is allowed to have slowly to make it last throughout the day.
Option a is not recommended as hard candies may contain sugar and artificial sweeteners, which can be harmful to the patient's health.
Option b is not recommended because caffeinated tea has diuretic properties that can increase urine output, leading to further dehydration.
Option d is not recommended as Gatorade is a sports drink that contains high amounts of sugar and electrolytes, which can lead to fluid overload and imbalances.
Sipping the water slowly can help the patient moisten his mouth without going over his fluid restriction. This approach can also help him pace his fluid intake throughout the day, which can be beneficial for maintaining proper hydration levels and managing fluid overload.
Correct Answer is D
Explanation
Explanation: The normal range of sodium (Na+) in the blood is 135-145 mEq/L. The patient's sodium level of 121 mEq/L is below the normal range, indicating a low sodium level, which is called hyponatremia.
Hyponatremia is a common electrolyte imbalance that can be caused by a variety of factors, including excessive sweating, vomiting, diarrhea, certain medications, kidney disease, and hormonal imbalances. It can cause symptoms such as nausea, headache, confusion, seizures, and coma, and it can be a medical emergency if the sodium level drops rapidly or severely.
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