Difficulty: Medium
Average Score: 85%
Simulated
A nurse is caring for a client with a chest tube. Which action should the nurse take?
Correct answer
A
Rationale
The correct action is to position the collection device below the level of the chest to facilitate drainage by gravity. This prevents backflow of fluid into the chest, aiding in proper lung re-expansion. Clamping the tube can lead to tension pneumothorax. Applying an occlusive dressing can obstruct the tube and cause complications. Emptying the collection chamber every shift is essential but not the priority action.