Which of the following is the correct nursing intervention when the continuous bubbling is noted in a water seal chamber quizlet?

A patient is about to have their chest tube removed by the physician. As the nurse assisting with the removal, which of the following actions will you perform? Select-all-that-apply:

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What does continuous bubbling in the water seal chamber indicate?
What should the nurse conclude if constant bubbling is noted in the water seal chamber of a closed chest drainage system?
What is indicated by continuous bubbling in the water seal chamber with no bubbles noted in the suction control chamber of the drainage system quizlet?
How do you fix a bubbling chest tube?

A. Educate the patient how to take a deep breath out and inhale rapidly while the tube in being removed.

B. Gather supplies needed which will include petroleum gauze dressing per physician preference.

C. Place the patient in Semi-Fowler's position.

D. Have the patient take a deep breath, exhale, and bear down during removal of the tube.

E. Pre-medicate prior to removal as ordered by the physician.

F. Place the patient is prone position after removal.

A patient is about to have their chest tube removed by the physician. As the nurse assisting with the removal, which of the following actions will you perform? Select-all-that-apply:

A. Educate the patient how to take a deep breath out and inhale rapidly while the tube in being removed.

B. Gather supplies needed which will include a petroleum gauze dressing per physician preference.

C. Place the patient in Semi-Fowler's position.

D. Have the patient take a deep breath, exhale, and bear down during removal of the tube.

E. Pre-medicate prior to removal as ordered by the physician.

F. Place the patient is prone position after removal.

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In the patient with acute respiratory failure, the nurse interprets which set of arterial blood gases as respiratory acidosis with hypoxemia?
Select one:
a. pH 7.47, PaCO2 30 mm Hg, HCO3- 32 mEq/L, PaO2 75 mm Hg
b. pH 7.37, PaCO2 42 mm Hg, HCO3- 24 mEq/L, PaO2 82 mm Hg
c. pH 7.30, PaCO2 55 mm Hg, HCO3- 22 mEq/L, PaO2 66 mm Hg
d. pH 7.32, PaCO2 48 mm Hg, HCO3- 22 mEq/L, PaO2 88 mm Hg

In the early stages of ARDS, your patient may exhibit which of the following ABG results:
Select one:
a. pH 7.32, PCO2 50, HCO3 23, PaO2 52
b. pH 7.48, PCO2 55, HCO3 24, PaO2 42
c. pH 7.50, PCO2 25, HCO3 22, PaO2 52
d. pH 7.38, pCO2 55, HCO3 24, PaO2 82

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What does continuous bubbling in the water seal chamber indicate?

Bubbling in the water seal chamber indicates an air leak. Air leak management remains the main problem in the discussion of the pneumothorax.

What should the nurse conclude if constant bubbling is noted in the water seal chamber of a closed chest drainage system?

The water in the water-seal chamber should rise with inhalation and fall with exhalation (this is called tidaling), which demonstrates that the chest tube is patent. Continuous bubbling may indicate an air leak, and newer systems have a measurement system for leaks — the higher the number, the greater the air leak.

What is indicated by continuous bubbling in the water seal chamber with no bubbles noted in the suction control chamber of the drainage system quizlet?

A ~ Continuous bubbling in the water-seal chamber with an absence of bubbles in the suction control chamber indicates that there is a leak in the system.

How do you fix a bubbling chest tube?

If bubbling disappears when you clamp the tubing, suspect an air leak at the insertion site or from within the chest wall. Assess the insertion site; if you detect a leak, apply petroleum gauze and a sterile occlusive dressing to seal it off.