Respiratory Therapist

Category - Initiation and Modification of Interventions

Which of the following statements are true when assisting a physician with the insertion and management of a chest tube?
  1. The function of the water in the water seal compartment of a drainage unit prevents air from moving back into the pleural cavity.
  2. The chest tube setup is functioning properly when using an external suction source with the drainage unit by noting continuous bubbling in the water seal compartment.
  3. The respiratory therapist should verify proper function of inline suction device by witnessing bubbling water in the seal compartment.
  4. It is mandatory to see fluid in the collection compartment.
Explanation
Answers: A and C- The function of the water in the water seal compartment of a drainage unit prevents air from moving back into the pleural cavity. The respiratory therapist should verify proper function of inline suction device by witnessing bubbling water in the seal compartment.

The chest tube setup is functioning properly when you are using an external suction source with a drainage unit and continuous bubbling in the suction control compartment is noted. When you are not using an external suction source, bubbles should be noted in the water seal compartment. It is not mandatory to see fluid in the collection compartment with the insertion of a chest tube as tubes are used to relieve air from the pleural cavity.
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