You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:

You are assisting the physician with removal

Multiple choice — select the best answer

AInhale and exhale quickly.
BRemain very still.
CExhale slowly.
DPerform the Valsalva’s maneuver.

✓ Correct answer: D. Perform the Valsalva’s maneuver. The nurse should instruct the patient to perform the Valsalva’s maneuver (take a deep breathe, exhale and bear down). Then the tube would be quickly removed and an airtight dressing placed. An alternative would be to ask the patient to take a deep breathe and hold the breath while the tube is removed.

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