During chest tube removal, the nurse instructs the client to:

Correct option is D

Holding the breath increases intrathoracic pressure, preventing air from entering the pleural space during tube removal. Explanation of options:
· (a) ✘ Inhalation may draw air in.
· (b) ✘ Doesn’t prevent negative pressure.
· (c) ✘ Exhalation may risk lung collapse.
· (d) ✔ Standard procedure to prevent pneumothorax.