Chest Tube And Drainage Device Care Practice Test

A 56-year-old client is 12 hours post-thoracotomy with a chest tube to a water-seal drainage device. Current status: temperature 98.9°F (37.2°C), heart rate 102/min, blood pressure 118/72 mm Hg, respiratory rate 22/min, oxygen saturation 92% on 2 L/min nasal cannula; drainage has suddenly increased from 30 mL/hr to 220 mL in the last hour and is bright red. Which finding should be REPORTED immediately to the RN?

A 74-year-old client with heart failure is admitted to an acute care unit for a large right pleural effusion and has a new right chest tube connected to a water-seal drainage device. Current status: heart rate 98/min, blood pressure 138/76 mm Hg, respiratory rate 22/min, oxygen saturation 93% on 3 L/min nasal cannula; breath sounds are diminished at the right base; 900 mL of straw-colored drainage has collected in the first hour. Which finding should be REPORTED immediately to the RN?