Difficulty: Medium
Average Score: 95%
Simulated
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which measure is important for the nurse to take?
Correct answer
A
Rationale
Correct Answer: A: Keep the drainage system below the level of the clientÔÇÖs chest at all times
Rationale:
1. Gravity helps maintain proper drainage and prevent air from entering the chest cavity.
2. Keeping the drainage system below the chest ensures continuous drainage without causing air leaks.
3. Elevating the drainage system above the chest can lead to complications like pneumothorax.
4. Clamping the chest tube (B) can cause tension pneumothorax.
5. Emptying the collection chamber (C) is important but not a priority during transport.
6. Disconnecting the chest tube (D) can lead to air entering the chest cavity.
Rationale:
1. Gravity helps maintain proper drainage and prevent air from entering the chest cavity.
2. Keeping the drainage system below the chest ensures continuous drainage without causing air leaks.
3. Elevating the drainage system above the chest can lead to complications like pneumothorax.
4. Clamping the chest tube (B) can cause tension pneumothorax.
5. Emptying the collection chamber (C) is important but not a priority during transport.
6. Disconnecting the chest tube (D) can lead to air entering the chest cavity.