Which of the following interventions should be done before a chest tube is removed?
  1. Disconnect the drainage system from the tube.
  2. Obtain a chest X-ray to document re-expansion.
  3. Obtain an arterial blood gas to document oxygen status.
  4. Sedate the client and the physician will slip the tube out without warning the client.
Explanation
Answer - B - A chest X-ray should be done to ensure and document that the lung is re-expanded and has remained expanded since suction was discontinued. Client cooperation is desirable; if the client can hold his breath while the chest tube is removed, there is less chance that air will be drawn back into the pleural space during removal. The drainage system shouldn’t be disconnected from the tube while still in the client because that could cause a pneumothorax to recur. A pulse oximetry measurement is sufficient to track oxygenation before the tube is removed.
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