The family of a mechanically ventilated patient receiving a chest tube asks why the tube is necessary. What is the nurse's most accurate response?
1. "The chest tube helps to decompress the lung and prevents further complications.".
2. "The chest tube helps the patient breathe more easily when on a ventilator.".
3. "The chest tube is an elective procedure that many physicians like to perform.".
4. "The chest tube is required to provide PEEP to the patient.".
1
Rationale 1: The chest tube is indicated for a pneumothorax that can be spontaneous or brought on by increasingly higher PEEP.
Rationale 2: A chest tube does not directly assist a patient with breathing more easily on a ventilator, but it does allow the lung to expand more fully, which helps with the patient's overall oxygenation.
Rationale 3: A chest tube is not an elective procedure.
Rationale 4: PEEP can be provided with or without a chest tube.
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