NCLEX-PN Exam Practice

Category - Respiratory

You are caring for a patient with a chest tube. When you turn the patient to the side the tube comes disconnected. What action should you take next?
  1. Notify the physician
  2. Place the tube in a bottle of sterile water
  3. Replace the chest tube
  4. Put a sterile dressing over the disconnected site
Explanation
Answer; B - The nurse should immediately place the tube in a bottle of sterile water. The system can then be replaced if necessary. A sterile dressing will not prevent complications associated with disconnection. The physician will need to be notified after the tube has been placed in sterile water.
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