The nurse who is assessing a client's chest tube insertion site notices a fine crackling sound and feeling upon palpating the area. What action should the nurse take?
1. Discontinue the chest tube suction.
2. Collaborate with the client's physician.
3. Mark the area involved and remove the tube.
4. Reinforce the chest tube dressing.
Correct Answer: 2
Rationale 1: Chest tube suction should not be discontinued.
Rationale 2: The nurse should collaborate with the client's physician regarding this finding.
Rationale 3: The tube should not be removed.
Rationale 4: Simply reinforcing the chest tube dressing will not prevent further air loss and does not allow for physician input.
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