Ati med surg final proctored exam
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Explanation & Rationale
A. Eyelets are not visible is incorrect because this is expected; the eyelets should be inside the chest cavity when the chest tube is properly placed. B. Crepitus in the area above and surrounding the insertion site is correct because this indicates subcutaneous emphysema, which may suggest an air leak or improper chest tube placement and should be reported to the provider. C. Movement of the trachea toward the unaffected side is incorrect because this is the expected tracheal position; deviation toward the affected side or away from midline is concerning. D. Bubbling of the water in the water seal chamber with exhalation is incorrect because intermittent bubbling with exhalation is normal as air exits the pleural space.
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