What action should a nurse take when preparing to remove a client's chest tube?

Instructing the client to perform the Valsalva maneuver during chest tube removal is important as it helps to create a transient increase in intrathoracic pressure. This action aids in preventing air from entering the pleural space as the tube is pulled out, thereby minimizing the risk of pneumothorax. The Valsalva maneuver involves the client taking a deep breath and holding it while bearing down, which helps to stabilize the pleural cavity during the procedure.

To ensure safe and effective removal of the chest tube, the nurse should educate the client about this maneuver beforehand. Proper technique is essential, as it contributes to better patient outcomes following the removal. Additionally, this approach is supported by clinical practice guidelines that advocate for protective measures against complications associated with chest tube extraction.

In contrast, having the client breathe normally may leave the pleural space vulnerable to air entry during removal. Swiftly pulling the tube out can disrupt the intrathoracic pressure protective mechanisms and cause discomfort or injury. Furthermore, while applying pressure to the incision site is a critical step after removal to minimize bleeding and seal the site, it is not performed until after the tube has been safely extracted. Therefore, performing the Valsalva maneuver is the most appropriate action to