The nurse is caring for a child after cardiac surgery. What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system? (Select all that apply.)
a. Maintain sterility.
b. Check for tube patency.
c. Do not interrupt the water-seal drainage system.
d. Clamp the chest tube when ambulating the child.
e. Measure the drainage by emptying the collection chamber every shift.
ANS: A, B, C
Nursing considerations with regard to chest tubes attached to a water-seal drainage system include (1) do not interrupt water-seal drainage unless the chest tube is clamped, (2) check for tube patency (fluctuation in the water-seal chamber), and (3) maintain sterility. The chest tube should not be clamped when ambulating the child and the drainage is measured in the collection chamber, not emptied.
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