Saunders Respiratory Practice

After removing a chest tube, it is essential for the nurse to cover the insertion site with an occlusive dressing. This action helps prevent air from entering the pleural space, which could lead to a pneumothorax. An occlusive dressing creates a seal over the site and is crucial for maintaining positive pressure in the pleural space, promoting proper healing and function after the chest tube has been removed.

Leaving the insertion site uncovered for air exposure could increase the risk of infection and possible complications by allowing pathogens into the wound area. Additionally, applying a wet dressing is not appropriate, as it does not provide the necessary occlusive environment to protect the site. Lastly, massaging the area around the insertion site is not advisable because it may cause discomfort and could compromise the integrity of the wound healing process. Thus, covering the site with an occlusive dressing is the most appropriate and safest action to take following the removal of a chest tube.