NCLEX Practice Questions: Adult Chest Tube (Basic Care and Comfort)

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Question:

The nurse is caring for a client with a chest tube. The nurse will refrain from calmping the chest tube because which of the following could happen?

Answer:

D) Tension pneumothorax

Rational:

Clamping a chest tube can cause a tension pneumothorax, because it becomes a one-way valve for air to enter the pleural space, but the air cannot escape because the tube is clamped. The trachea will deviate away from the affected side in this situation, and the client will present with chest pain, dyspnea, hypoxia and hypotension.

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