Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A 60-year-old patient with a right lung cancer undergoes a lobectomy. After the surgery, the patient was transported to the unit with a chest tube attached to suction. What observation would prompt a nurse to notify the physician?
  1. Blood clots along the tubing during the first 24-hours
  2. Bloody fluid in the drainage collection chamber in the first 24-hours
  3. Diminished bubbling in the water-seal chamber after 72 hours
  4. Subcutaneous emphysema during his second day
Explanation
Answer - D - Observation that would prompt a nurse to notify the physician is subcutaneous emphysema during the second day. This problem should not occur, as it is an evidence of a leak from the chest tube or the lung into the subcutaneous tissue. All others are expected for this patient.
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