Certified Medical-Surgical Registered Nurse Practice Test 2025 - Free Practice Questions and Study Guide

Question: 1 / 400

When caring for a patient with a chest tube, what should the nurse monitor?

The emotional state of the patient

Only the insertion site for redness

The amount, color, and consistency of drainage, as well as respiratory status

Monitoring the amount, color, and consistency of drainage, as well as the respiratory status, is essential when caring for a patient with a chest tube. This is because the purpose of the chest tube is to remove air, fluid, or pus from the pleural space, thereby allowing the lungs to expand fully. Changes in the characteristics of the drainage can indicate complications such as bleeding or infection. Regular assessment of respiratory status is crucial as it helps in identifying any signs of respiratory distress, indicating whether the chest tube is functioning effectively and that the lungs are re-expanding properly.

In addition, evaluating both the drainage and respiratory function ensures timely interventions if any abnormalities arise, which could potentially compromise the patient's respiratory ability. This holistic approach to monitoring is vital for patient safety and effective recovery from the underlying condition that necessitated the chest tube placement.

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The rate of oxygen administered

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