Question

A chest tube with an attached closed-drainage system is inserted into a client who was stabbed in the chest. Which is an important nursing intervention when caring for this client?

1. Observe for fluid fluctuations in the water-seal chamber.
2. Obtain a prescription for morphine to minimize agitation.
3. Apply a thoracic binder to prevent excessive tension on the tube.
4. Clamp the tubing securely to prevent a rapid decline in pressure.

Answer 1

The correct nursing intervention for a client with a chest tube is to observe for fluid fluctuations in the water-seal chamber. This helps monitor lung re-expansion and detects any air leaks, ensuring that the negative pressure in the thoracic cavity is maintained.Correct option in the final answer is option 1:

Step-by-step explanation:

An important nursing intervention when caring for a client with a chest tube and an attached closed-drainage system is to observe for fluid fluctuations in the water-seal chamber.

This is crucial for monitoring the patient's lung re-expansion and for detecting any air leaks. Proper management of the chest tube system is critical to ensure that negative pressure in the thoracic cavity is maintained, which is essential for lung re-expansion and function.

It is also essential to recognize that options like administering pain management, using thoracic binders, or clamping the tubing should be done based on specific clinical judgments and orders from healthcare professionals.

Observe for fluid fluctuations in the water-seal chamber, which is an integral part of the daily management and patient monitoring process.