A client's chest tube has been accidentally dislodged while the client was being transferred from the bed to a stretcher. Which of the following should the nurse do to help this client?
1. Cover the site with occlusive petroleum jelly gauze and tape to four sides.
2. Cover the site with occlusive petroleum jelly gauze and tape to three sides.
3. Cover the site with occlusive petroleum jelly gauze and tape to two sides.
4. Cover the site with occlusive petroleum jelly gauze and tape to one side.
2
In the case of accidental dislodging of the chest tube, the site should be covered with occlusive petroleum jelly gauze and taped on three sides to prevent the development of a tension pneumothorax. If the gauze is taped on all four sides, the client can develop a tension pneumothorax. Taping the gauze on one or two sides will not be effective to support this client and should not be done.
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