When the physician removes the chest tube from an infant who has had open heart surgery, the nurse's responsibility is to:

a. Cover the chest opening with a petrolatum-covered gauze dressing
b. Record the vital signs as a baseline for future assessments
c. Administer oxygen at 3 liters per minute until respirations are stabilized
d. Turn the child to the opposite side of the puncture wound


A
The application of a petrolatum-covered gauze dressing makes the opening airtight to prevent air from entering the pleural space.

Nursing

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