The nurse is caring for a client with a right sided chest tube that is accidentally pulled out of the pleural space. Which action should the nurse implement first?
a. notify the DR to have the chest tube reinserted STAT
b. instruct the client to take slow shallow breaths until the tube is reinserted
c. take no action and assess the client's respiratory status q 15min
d. tape a petroleum jelly occlusive dressing on 3 side of the insertion site
Answer: D