Join me as I prepare for my upcoming NCLEX RN exam on October 2009


Sunday, November 16, 2008

What if the Chest Drainage System is dislodge from the insertion site?

If the chest drainage system is dislodged from the insertion site;

  • The nurse immediately applies sterile gauze over the site and calls the physician.
  • The nurse would maintain the client in an upright position.
  • A new chest tube system may be attached if the tube requires insertion, but this would not be the next action.

*Pulse oximetry readings would assist in determining the client’s respiratory status, but the priority action would be to call the physician.

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