The nurse is totaling the chest tube output at 1400, the close of the shift. The chest tube drainage is at the 125 mL calibrated mark on the drainage device. The vertical tape along the side of the calibrated marks of the drainage device has a line drawn at 50 mL with the time of 0600. Which nursing intervention is most appropriate on the basis of this finding?
a. Draw a line at 125 mL and indicate 1400.
b. Document 125 mL as the output for the shift.
c. Assess the suction chamber for patency.
d. Strip or milk chest tube quickly for 5 to 10 seconds.
Rationale:
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