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    A patient with chest trauma has a chest tube in place. Suddenly, the chest tube disconnects from the drainage system. What is the most appropriate imm
    Question

    A patient with chest trauma has a chest tube in place. Suddenly, the chest tube disconnects from the drainage system. What is the most appropriate immediate nursing action?

    A.

    Clamp the tube tightly and wait for physician

    B.

    Insert tube end in sterile water or saline container

    C.

    Remove the chest tube and apply occlusive dressing

    D.

    Reconnect the tube to the drainage system after cleaning

    Correct option is B

    If the chest tube disconnects, it should be immediately placed in sterile water/saline to create a water seal and prevent air entry into pleural cavity.
    Explanation of options: (a) ✘ Clamping increases risk of tension pneumothorax. (b) ✔ Correct; water seal prevents air re-entry until system is reconnected. (c) ✘ Removal and dressing cause loss of drainage, risk of effusion/tension. (d) ✘ Reconnection is done later aseptically; immediate action is sterile water seal.

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