Nursing -Activity homework Essay Example | Topics and Well Written Essays - 1250 words - 1

Nursing -Activity homework - establish Example345). Depending on the condition of the tolerant, monitoring should be either continuous or intermittently. Bubbling and jive are assessed with the patients respiration. In normal respiration, the fluid within the tube rises with inspiration and falls with expiration (Paul and Williams, 2009 p.45). Absence indicates that the tube is blocked, or it is out of the pleural space. Intermittent foaming in the water seal chamber shows an air safety valve when the patient coughs or exhales. Continuous pass off indicates air leak between the patient and the drain. Volume, color and consistency of the drainage are monitored (Smeltzer et al., 2010, p. 234). The drain insertion site is in like manner assessed for signs of infection and inflammation. The sutures are checked if they are intact and secure and that the dressing is clean and intact (Smeltzer et al., 2010 p. 252).The rule for clamping the chest drain is to reduce the risk of tens ion pneumothorax. Smeltzer et al., (2010 p. 252) recommend disconnection of the chest drain in the case of sunction or the patient are ambulant. However, during the transport, the chamber should be kept below the patients chest level to enable draining (Smeltzer et al., 2010, p. 123). This allows gravity drainage and prevents backflow of fluid. However, Paul and Williams (2009, p. 13) suggest that clamping puke also be done when the drainage bottle requires a replacement or to locate all air leak in the drainage system. Therefore, the suggestion that chest drains should only be removed when the patient is to be moved is false.If the water in the chest tube wasswinging but not aglitter(p) or draining it means the air has been removed from the pleural space but that the pneumothorax has not resolved. When bubbling initially stops this should be further assessed by instructing the patient to cough.When monitoring for the patient with chest pneumothorax the bubbling shows the presenc e of air in