ATI Skills Module 3.0: Closed-Chest Drainage Test 2024-Solved

ATI Skills Module 3.0: Closed-Chest Drainage Test 2024-Solved A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed-chest drainage system to be set at -40cm of water. Which of the following closed-chest drainage systems should the nurse prepare for this client? - Ans️️ - Dry suction- control system Reasoning: Systems that use dry-suction control allow for higher suction pressures by adjusting a dial on the front surface of the system to deliver suction pressure up to -40cm of water. Some clients need high suction pressures due to a massive air leak from the lung surface, emphysema or viscous pleural effusion, or a reduction in pulmonary compliance. A nurse is caring for a client who has a chest tube in place that is attached to water-seal drainage system. Which of the following findings should the nurse recognize as an indication of subcutaneous emphysema? - Ans️️ - A dry, crackling sound at the insertion site when palpated Reasoning: A dry, crackling sound at the insertion site is an indication of subcutaneous emphysema, which is a result of air leaking into the subcutaneous tissue surrounding the chest- tube insertion site. A nurse is caring for a client who has a chest tube in place that is attached to a closed-chest drainage system. Which of the following actions should the nurse take if the chest tube becomes dislodged from the closed-chest drainage system? - Ans️️ - Submerge the end of the chest tube in 1 inch of sterile water Reasoning: This action creates a water seal and prevents air from entering the pleural space through the open end of the chest tube when the client inhales. A nurse is caring for a client who has a chest tube in place. Which of the following strategies should the nurse use to help promote comfort for the client? - Ans️️ - Have the client splint the affected side during coughing