A chest tube that was inserted for a child with a pneumothorax becomes dislodged from the child's chest. Which of the following would the nurse do first?
A) Apply a Vaseline gauze occlusive dressing.
B) Clamp the chest tube close to the child's chest.
C) Administer supplemental oxygen at 100%
D) Notify the child's physician to reinsert the tube.
A
Response:
If a chest tube becomes dislodged from the child's chest, the nurse should immediately apply a Vaseline gauze occlusive dressing, then assess the child's respiratory status and notify the physician The tube is out of the chest, so clamping would be of no benefit. Clamping would be done if the chest tube became disconnected from the suction or water seal device. Oxygen at 100% may be used in some cases of pneumothorax, but only for a few hours, and this would not be the first action. In most cases, the child is probably already receiving some supplemental oxygen.
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