The nurse is caring for a client with a closed chest drainage system. While repositioning the client, the chest tube dislodges. What is the immediate nursing intervention?
A) Reinsert the chest tube.
B) Notify the physician.
C) Cover the exit site.
D) Apply oxygen via face mask.
C
Feedback:
Air entering the cavity will allow further collapse of the lung. Applying a dressing or covering the site will minimize the amount of air entering the cavity. The nurse would notify the physician for reinsertion of the tube but not the immediate action to take. Applying oxygen may be necessary to eliminate symptoms of hypoxia after wound is sealed.
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