A physician prescribes the use of water-seal chest tube drainage for a client with a severe pleural effusion. What should the nurse ensure when using the water-seal chest tube drainage?
A) Filters need to be cleaned regularly to avoid unpleasant taste or smell.
B) The chest tube should not be separated from the drainage system unless clamped.
C) A nasal cannula should be used to administer oxygen when cleaning the opening.
D) A secondary source of oxygen should be available in case of power failure.
B
Feedback:
When using water-seal chest tube drainage, the nurse should never separate the chest tube from the drainage system unless clamped. Even then, the tube should be clamped only briefly. When using an oxygen concentrator as a source of oxygen, the nurse should clean the filter regularly to avoid an unpleasant taste or smell. A secondary source of oxygen should also be available in case of a power failure. When cleaning a transtracheal catheter, oxygen needs to be administered with a nasal cannula.
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