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The Nurse Notes That the Patient's Chest Tube Pulled Out

Question 32

Multiple Choice

The nurse notes that the patient's chest tube pulled out by 5.1 cm (2 inches) during turning and repositioning.Which should be the initial action by the nurse?


A) Instruct the nursing assistive personnel (NAP) to apply pressure for 5 minutes.
B) Replace the water-seal drainage system with a sterile waterless unit quickly.
C) Hold a towel firmly over the site and send for petrolatum gauze.
D) Push the tube into place and apply an occlusive sterile dressing.

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