For a patient with a pneumothorax, where does the nurse anticipate that the chest tube will be located?
a. Second to third intercostal space (apical), anterior
b. Fifth to sixth intercostal space, posterior
c. Fifth to sixth intercostal space, lateral
d. Mediastinal area
A
Apical (second or third intercostal space) and anterior chest tube placement promotes removal of air, which is necessary in the case of a pneumothorax. Chest tubes are placed low (usually in the fifth or sixth intercostal space) and posterior or lateral to drain fluid. A mediastinal chest tube is placed in the mediastinum, just below the sternum. This tube drains blood or fluid, preventing its accumulation around the heart. A mediastinal tube commonly is used after open heart surgery.
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