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    Ati pn adult medical surgical 2023 proctored exam

    A nurse is collecting data from a client who has a chest tube to treat a hemothorax. Which of the following findings should the nurse report to the provider?

    Explanation & Rationale

    This scenario involves monitoring a client with a chest tube resolving a hemothorax. It requires applying principles of pleural space mechanics, negative pressure dynamics, and closed-chest drainage physics to distinguish normal system function from critical structural air leaks. Choice A rationale The suction control chamber regulates the negative pressure applied to the pleural space using a water column. Gentle, continuous bubbling indicates that the suction source is active and functioning at the designated prescription level. Choice B rationale The water-seal chamber acts as a one-way valve allowing air to exit the pleural space. Persistent, continuous bubbling indicates a constant structural air leak within the system or the client's thoracic cavity, requiring intervention. Choice C rationale As a hemothorax resolves, pleural drainage transitions naturally from bloody sanguineous fluid to lighter serosanguineous fluid. This color change signifies expected physiological healing and does not indicate an acute complication or hemorrhage. Choice D rationale A dry and intact dressing ensures the insertion site is sealed against atmospheric air intrusion and bacterial contamination. This is an expected, optimal finding that indicates appropriate wound care and maintenance.

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