The nurse notes that the patient's chest tube pulled out by 5.1 cm (2 inches) during turning and repositioning.Which is the initial action by the nurse?
A) Instruct the nursing assistive personnel (NAP) to apply pressure for 5 minutes.
B) Replace the water-seal drainage system with a sterile waterless unit quickly.
C) Hold a towel firmly over the site and send for petrolatum gauze.
D) Push the tube into place and apply an occlusive sterile dressing.

Question

Quizplus · Accepted Answer

The initial action is to cover the site with a towel to prevent air from entering the pleural space and causing a pneumothorax, while waiting for the appropriate dressing.

The Nurse Notes That the Patient's Chest Tube Pulled Out