The nurse assists the primary health care provider with the removal of a chest tube. During the procedure, the nurse instructs the client to perform which action?

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Question

This question was previously asked in

SGPGI Staff Nurse Official Paper (Held On: 28 Feb, 2024 Shift 1)

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Answer 1

Correct Answer: Take a deep breath and hold it

Rationale:

When a chest tube is removed, the nurse instructs the client to take a deep breath and hold it. This action increases intrathoracic pressure, which helps prevent air from entering the pleural space during the removal of the chest tube. This is critical to avoid complications such as pneumothorax (air entering the pleural space and collapsing the lung).
Holding the breath creates a closed system within the lungs, minimizing the risk of air being accidentally sucked into the pleural cavity, which could disrupt the lung’s re-expansion post-procedure.
This technique is a standard practice during chest tube removal to ensure patient safety and successful removal without complications.

Explanation of Other Options:

Inhale deeply

Rationale: While inhaling deeply might increase intrathoracic pressure momentarily, it is not sufficient to sustain the pressure needed during the removal of the chest tube. Additionally, it does not prevent air from entering the pleural space because the airway remains open.

Breathe normally

Rationale: Breathing normally does not create the necessary increase in intrathoracic pressure to prevent air entry into the pleural cavity. It also does not ensure stability during the removal procedure, increasing the risk of complications.

Breathe out forcefully

Rationale: Forcefully exhaling could create a sudden pressure change in the pleural space, which may destabilize the lung and lead to complications. This action is not recommended during chest tube removal.

Conclusion:

The safest and most appropriate action during chest tube removal is for the patient to take a deep breath and hold it. This technique creates a controlled environment in the thoracic cavity, minimizing the risk of air entering the pleural space and ensuring a smooth and safe procedure.