What is the nurse's priority action for a chest tube becomes dislodged from the client?

Question

Accepted Answer

B. cover the insertion site with a sterile occlusive dressing taped on three sides — If the chest tube comes out of the client, the insertion site should be covered with a sterile occlusive dressing taped on three sides to reduce risk of tension pneumothorax.

Answer

A. clamp the chest tube tubing near the bed

Answer

C. insert the tube back into the chest immediately

Answer

D. leave the site open to air and monitor breathing