GAITH Chest Tube questions

Question 1

22. A nurse is transferring a patient with chest tube the X-ray department for chest X-ray. Which location should the
    nurse place chest tube
    A. Directly on the stretcher in an upright
    B. On the side of stretcher next to patient
    C. Hanged on IV pole that is attached to the
    D. Attached to the stretcher and hanged

Answer 1

d

Question 2

23. 69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours after admission, the
    nurse performs a routine assessment and notes the patient’s chest tube drainage is 200 milliliters and a dark red
    color. He has had 60 milliliters output from the indwelling urinary catheter
    Blood pressure 138/68 mmhg
    Heart rate 76/min
    Respiratory rate 16/min
    Body temperature 37.0C oral
    Oxygen saturation 94% 6L/min nasal cannula
    Which finding should be reported to the doctor?
    A. Dark red chest tube drainage
    B. Urinary output
    C. Oxygen saturation
    D. Chest tube output volume

Answer 2

C

Question 3

24. 40 year-old male patient has a chest tube and properly fixed following cardiac surgery. The chest tube is patent
    and functioning. When the nurse removes the dressing the tube falls out of the chest. Which is the most
    appropriate initial intervention the nurse should take?
    A. Reinsert the chest tube and notify the surgeon
    B. Apply an occlusive dressing to the insertion site
    C. Place the open end of the tube in 20 cm of water
    D. Administer O2 at 10L/min via non-rebreather mask

Answer 3

B

Question 4

25. While attempting to get of the bed a patient accidentally disconnects the chest tube from the pleura evac
    drainage system which of the following actions should the nurse take first
    A. Insert the end of the chest tube in a container of sterile solution
    B. Raise the end chest tube above the level of insertion of the chest tube
    C. Clamp the chest tube near pleura evac drainage system
    D. Apply pressure dressing to chest tube insertion site

Answer 4

A

Question 5

26. The nurse is caring for a client who has just had a chest tube attached to a water seal drainage system. To ensure
    that the system is functioning effectively the nurse should:
    A. Observe for intermittent bubbling in the water seal chamber
    B. Flush the chest tubes with 30-60 ml of NSS every 4-6 hours
    C. Maintain the client in an extreme lateral position
    D. Strip the chest tubes in the direction of the client

Answer 5

A

Question 6

27. A client chest tube is connected to a chest tube drainage system with a water seal . The nurse noted that the
    water seal c is fluctuating with each breath that client takes . The fluctuation mwans that
    A. There is an obstruction in the chest tube
    B. The client is developing emphysema
    C. The chest tube system is functioning properly
    D. There is leak in the chest tube system

Answer 6

C

Question 7

28. 20-Your patient has a chest tube. Your assessing the water seal chamber and you note ).11 that the water moves
    up as the patient inhales and then moves down when the patient ?exhales. What may be causing this to happen
    A. This is normal and expected
    B. The chest tube has a leak
    C. The left chest tube is occluded
    D. The water seal suction should be increased 2-5 mmHg

Answer 7

A

Question 8

29. 21-You are assisting a MD with the removal of a chest tube. What activity may the MD have ?the patient
    perform while the chest tube is being removed
    A. Valsalva maneuver.
    B. Leopold Maneuver
    C. Chest Physiotherapy
    D. Huff Cough Technique

Answer 8

A

Question 9

30. A 67 year-old man is admitted to the Post-anesthesia Recovery unit following chest surgery. The patient has a
    right chest tube that is attached to low suction. Three hours after admission to the unit, the nurse observes the
    drainage output from the chest tube is 300 milliliters. What is the most appropriate initial intervention?
    A. Notify the doctor
    B. Reduce IV infusion rate
    C. Strip tube with roller device
    D. Re-position in left lateral decubitus

Answer 9

A

Question 10

31. The nurse is caring for a client who has had a chest tube inserted and connected to water seal drainage. The
    nurse determines the drainage system is functioning correctly when which of the following is observed:
    A. Continuous bubbling in the water seal chamber
    B. Fluctuation in the water seal chamber
    C. Suction tubing attached to a wall unit
    D. Vesicular breath sounds throughout the lung fields

Answer 10

B