What should a nurse consider if a client's chest tube is no longer tidaling?

What should a nurse consider if a client's chest tube is no longer tidaling?

• A. The tubing may be kinked
• B. The water seal has been properly adjusted
• C. The client is breathing normally
• D. The water seal chamber is completely full

Answer: (A)

If a client's chest tube is no longer tidaling, it indicates that there may be an obstruction in the system. Tidaling refers to the movement of fluid in the water seal chamber with the client's breathing; when this movement stops, it can signify a problem. Observing that the tubing may be kinked is correct because any obstruction, including kinking in the tubing, can prevent the normal flow of air and fluid. Ensuring the tubing is free of kinks allows for proper function of the drainage system, which is essential in monitoring the client’s respiratory status and aiding in the resolution of conditions like pneumothorax or pleural effusion. In this context, other options, such as the water seal being properly adjusted or the water seal chamber being completely full, do not directly explain the lack of tidaling. A properly adjusted water seal should still show tidaling if the system is functioning well. Similarly, if the water seal chamber is full, it may indicate that fluid isn't draining correctly, leading to a lack of tidaling. While the client’s normal breathing is important, it does not explain the absence of tidaling in this situation.

If a client's chest tube is no longer tidaling, it indicates that there may be an obstruction in the system. Tidaling refers to the movement of fluid in the water seal chamber with the client's breathing; when this movement stops, it can signify a problem. Observing that the tubing may be kinked is correct because any obstruction, including kinking in the tubing, can prevent the normal flow of air and fluid. Ensuring the tubing is free of kinks allows for proper function of the drainage system, which is essential in monitoring the client’s respiratory status and aiding in the resolution of conditions like pneumothorax or pleural effusion.

In this context, other options, such as the water seal being properly adjusted or the water seal chamber being completely full, do not directly explain the lack of tidaling. A properly adjusted water seal should still show tidaling if the system is functioning well. Similarly, if the water seal chamber is full, it may indicate that fluid isn't draining correctly, leading to a lack of tidaling. While the client’s normal breathing is important, it does not explain the absence of tidaling in this situation.