The student nurse observes the staff nurse providing care to a patient with a chest tube. Which of the nurse's actions should the student recognize as incorrect and report to the nursing instructor?
a. Recording drainage from chest tube as output
b. Securing the chest tube to the chest tube dressing
c. Checking the water seal chamber for bubbling
d. Milking the chest tube to promote drainage
D
Recording drainage from the chest tube as output would be an appropriate nursing action. Securing the chest tube to the chest tube dressing helps to prevent dislocation or removal of the chest tube and is an appropriate nursing action. A lack of bubbling in the water seal chamber indicates air is no longer being evacuated, so it is an appropriate nursing assessment. Milking the chest tube, or squeezing it from the patient to the drainage collection device, is not an evidence-based practice and should not be done. Seeing a nurse doing this would indicate the need for corrective action, which should not be provided by a student.
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