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NCLEX-RN Exam Practice

Category - Respiratory

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You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:

Remain very still.
Inhale and exhale quickly.
Exhale slowly.
Perform the Valsalva’s maneuver.

Explanation

Answer: D - The nurse should instruct the patient to perform the Valsalva’s maneuver (take a deep breathe, exhale and bear down). Then the tube would be quickly removed and an airtight dressing placed. An alternative would be to ask the patient to take a deep breathe and hold the breath while the tube is removed.

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