questions with verified answers
The purpose of a chest tube is Ans✔✔-To remove and
prevent reentry of air
or fluid from
intrapleural or
mediastinal space
What conditions are chest tubes used for? Ans✔✔-pneumothorax,
hemothorax, pleural
effusion, empyema or
chylothorax.
What type of seal does the closed drainage system typically utilize? Ans✔✔-
water seal
List the 3 compartments of the chest drain collection container Ans✔✔-1.
underwater seal
2. collection
3. suction
"apical" chest tube placement typically drains ___ Ans✔✔-air
"inferior" chest tube placement typically drains ___ Ans✔✔-fluid
, What happens if the collection chamber tips over? Ans✔✔-return to upright and
notify nursing
PT precautions when treating a pt with a chest tube? Ans✔✔-• dont tip over the
collection device
• use caution with ipsilateral shoulder flexion and abduction > 90
• ask RN or MD if suction can be temporarily disconnected to mobilize
• observe amount and color of drainage before and after treatment
• watch for s/s of pneumothorax
Where do chest tubes most often exit the body? Ans✔✔-midaxillary, intercostal
space
Purpose of a nasogastric tube? Ans✔✔-• keeps stomach empty via suction
• rests the bowels
Purpose of a nasoenteric feeding tube? Ans✔✔-• short term enteral feeding tube
• can be advanced to stomach or small intestine
PT considerations for an NG tube Ans✔✔-Avoid Trendelenburg or flat positioning
15 minutes post bolus feeding to prevent gastric reflux
• ask if tube can be clamped off for mobility
• check tube placement after strong coughing