The LPN is caring for a client with a chest tube. The nurse notes that drainage from the tube has abruptly stopped, and the client reports increased difficulty breathing.
Which finding should the nurse report to the RN?
- Cessation of drainage and client's report of dyspnea. (correct answer)
- Pain level of 4 out of 10 at the insertion site.
- Presence of tidaling in the water seal chamber.
- Small amount of serous drainage on the dressing.
Explanation: The correct answer is A. The sudden cessation of drainage, especially when coupled with respiratory distress, is a significant finding that may indicate a blockage or clot in the tubing. This prevents air or fluid from escaping the pleural space, potentially leading to a tension pneumothorax. This is the most critical finding and must be reported immediately. B, C, and D represent expected or less urgent findings.