Lou, a nursing student is developing a plan of care for a client with a chest tube that is attached to a Pleur-Evac drainage system.. Instruct the client to avoid coughing and deep breathing

Lou, a nursing student is developing a plan of care for a client with a chest tube that is attached to a Pleur-Evac drainage system. The nurse intervenes if the student writes which incorrect intervention in the plan?
a. Position the client in semi-Fowler’s position
b. Add water to the suction chamber as it evaporates
c. Tape the connection sites between the chest tube and the drainage system
d. Instruct the client to avoid coughing and deep breathing

Answer D. It is important to encourage the client to cough and deep breathe when a chest tube drainage system is in place.
This will assist in facilitating appropriate lung re-expansion. Water is added to the suction chamber as it evaporates to maintain the full suction level prescribed.
Connections between the chest tube and the drainage system are taped to prevent accidental disconnection.
The client is positioned in semi-Fowler’s to facilitate ease in breathing.
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