Asked by Kiana Cencula on Jun 28, 2024
Verified
While a patient is receiving hygiene care,the chest tube becomes disconnected from the water-seal chest drainage system (CDU) .Which action should the nurse take immediately?
A) Clamp the chest tube close to the insertion site.
B) Set up a new drainage system and connect it to the chest tube.
C) Have the patient take and hold a deep breath while the nurse reconnects the tube to the CDU.
D) Place the disconnected end nearest the patient into a bottle of sterile water.
Water-Seal Chest Drainage
A system used to remove air, pus, or fluid from the pleural space and restore negative pressure, promoting lung re-expansion.
Hygiene Care
Refers to practices related to the maintenance of bodily cleanliness and appearance.
- Implement immediate nursing interventions for disconnected or compromised chest drainage systems.
Verified Answer
DR
Dayne RangelJul 01, 2024
Final Answer :
D
Explanation :
Placing the disconnected end of the chest tube nearest the patient into a bottle of sterile water is the immediate action to take. This prevents air from entering the pleural space through the disconnected tube, maintaining the water seal and preventing a potential pneumothorax until the system can be properly reconnected.
Learning Objectives
- Implement immediate nursing interventions for disconnected or compromised chest drainage systems.