Which of the following measures best determines that a chest tube is no longer needed for a client who had pneumothorax?
  1. The drainage from the chest tube is minimal.
  2. Arterial blood gas levels are obtained to ensure proper oxygenation.
  3. It’s removed and the client is assessed to see if he’s breathing adequately.
  4. No fluctuation in the water seal chamber occurs when no suction is applied.
Explanation
Answer - D - The chest tube isn’t removed until it’s determined the client’s lung has adequately re-expanded and will stay that way. One indication of re-expansion is the cessation of fluctuation in the water seal chamber when suction isn’t applied. Drainage should be minimal before the chest tube is removed. An ABG test may be done to ensure proper oxygenation, but isn’t necessary if clinical assessment criteria are met.
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