The preceptor is working with a new nurse to provide care for a patient with a chest tube to relieve a pneumothorax. Which action by the new nurse indicates need for additional teaching about chest tube care?

a. The suction is discontinued when the patient is ambulated to the bathroom.
b. The collection device is emptied at the end of the shift and output recorded in the chart.
c. The patient's bed is placed in the semi-Fowler's position to facilitate lung reexpansion.
d. The patient is encouraged to use his incentive spirometer at least 10 times every hour.


ANS: B
The chest tube collection device is not emptied at the end of the shift. Instead, the amount of drainage present at the end of the shift (or specified time) is marked on the collection device and the amount of drainage entered into the patient's chart.

Nursing

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