MRCP UK EXAMINATIONS

RESPIRATORY

LUNG CANCER

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient recovering from a lobectomy has a chest tube attached to a water-seal drainage system. The healthcare provider notices the fluid in the water-seal column has stopped fluctuating. Which of the following would explain why the fluctuations have stopped?
A
The lung has collapsed.
B
Positive intrapleural pressure has increased.
C
There may be fibrin clots in the tubing.
D
There is leak in the drainage system.
E
The lung had fully expanded.
Explanation: 

Detailed explanation-1: -Place patient in semi-Fowler’s position for easier breathing. Patient should be in a semi-Fowler’s position, have minimal pain, have no respiratory distress, and have no evidence of an air leak around the insertion site, and no drainage from the insertion site or chest tube equipment.

Detailed explanation-2: -The purpose of placing closed chest drains after lobectomy is mainly to drain the blood and gas from the chest cavity and prevent regurgitation, to restore the normal negative pressure in the chest cavity, thereby promoting the lung expansion and prevent infections in the chest cavity [3].

There is 1 question to complete.