The nurse in the stepdown unit is caring for a client who is postoperative from a thoracic surgery and has a left lateral chest tube in place. During the first shift assessment, the notes several assessment finds and must know which findings need an intervention. 

 

Click to indicate whether each of the findings for this client’s assessment are associated with a properly working chest tube, or if the chest tube needs troubleshooting:

Assessment
Chest Tube Functioninig Properly
Chest Tube Needs Troubleshooting
Gentle Bubbling present when patient coughs
Chest Tube drainage = 70 ml/hour
Presence of Subcutaneous Emphysema
Bellow Open
Wall Suction Set at 60 mmHG
Chest tube clamped