The nurse is teaching a patient about her chest drainage system. Which of the following should the nurse include in the teaching? Select all that apply
a. Perform frequent coughing and deep-breathing exercises.
b. Sit up in a chair but do not walk while the drainage system is in place.
c. Get out of bed without assistance as often as possible.
d. Immediately notify the nurse if she experiences increased shortness of breath.
A, D
Patients should regularly perform coughing and deep-breathing exercises to promote lung reexpansion. The nurse should also encourage the patient to be as active as her condition permits, rather than telling her not to walk. Chest drainage systems are bulky, but patients with disposable systems can still get out of bed and ambulate. However, the patient will need assistance from one or two staff members to protect and monitor the system and to monitor her responses to activity; she should not get out of bed on her own. If a patient with a chest drainage system becomes acutely short of breath, the patient should immediately notify the nurse so that the nurse can check for occlusion of the system, which can result in a tension pneumothorax.
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