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Multiple Choice

Which of the following is NOT a recommended measure after admitting a client with a chest tube for a right pleural effusion?

The situation tests understanding of how a chest drainage system functions to remove fluid and prevent air from re-entering the pleural space. After placing a chest tube for a pleural effusion, you want to maximize drainage by relying on gravity, while also supporting breathing and monitoring status. Semi-Fowler's position helps with lung expansion and comfort, and connecting the patient to an oxygen saturation monitor provides ongoing track of oxygenation. Regular respiratory assessments catch early signs of trouble, such as changes in breath sounds, rate, or effort. The practice that isn’t recommended is keeping the closed drainage unit at the level of the chest. It should be kept below the chest to allow gravity to pull fluid out of the pleural space and to reduce the chance of backflow or backpressure. When the unit sits at chest level or higher, drainage can slow or stop, and there’s a greater risk that fluid or air could move back toward the chest, undermining the purpose of the drainage system.

The situation tests understanding of how a chest drainage system functions to remove fluid and prevent air from re-entering the pleural space. After placing a chest tube for a pleural effusion, you want to maximize drainage by relying on gravity, while also supporting breathing and monitoring status. Semi-Fowler's position helps with lung expansion and comfort, and connecting the patient to an oxygen saturation monitor provides ongoing track of oxygenation. Regular respiratory assessments catch early signs of trouble, such as changes in breath sounds, rate, or effort.

The practice that isn’t recommended is keeping the closed drainage unit at the level of the chest. It should be kept below the chest to allow gravity to pull fluid out of the pleural space and to reduce the chance of backflow or backpressure. When the unit sits at chest level or higher, drainage can slow or stop, and there’s a greater risk that fluid or air could move back toward the chest, undermining the purpose of the drainage system.