Question

A client has fluid in the pleural space and the nurse is preparing for a chest tube insertion. The nurse knows that the insertion site will be located at which of the following locations?

a. 8th or 9th intercostal space
b. Under the ribs through the diaphragm
c. Through the sternum
d. 2nd intercostal space

Answer 1

The correct location for chest tube insertion to drain fluid from the pleural space is typically in the 4th or 5th intercostal space at the mid-axillary line. The options given do not accurately describe the standard site but the 2nd intercostal space is sometimes used for pneumothorax cases.

Step-by-step explanation:

The correct location for chest tube insertion to drain fluid from the pleural space is usually in the 4th or 5th intercostal space, commonly referred to as the mid-axillary line, which lies approximately at the level of the nipple in males. Though the specific site can vary depending on the reason for the chest tube (e.g., pneumothorax may require higher placement), this region is typically chosen to avoid damage to the diaphragm and other vital structures while also ensuring that the tube can adequately drain fluid or air that has accumulated in the pleural cavity.

For the question provided, none of the options given directly reflect the typical location for a standard chest tube insertion to drain pleural effusions as they go for empyemas or pneumothoraces; however, without altering the choices given, the closest correct answer is 'd. 2nd intercostal space', as it is most closely associated with higher chest tube insertions for pneumothorax.