Difficulty: Medium
Average Score: 81%
Full-length
A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?
Correct answer
A
Rationale
Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (B) is excessive, exhaling (C) risks pneumothorax, and deep breathing (D) is unsafe.