After a thoracotomy, what is the priority nursing intervention concerning the chest tube?

The priority nursing intervention concerning the chest tube after a thoracotomy is to verify that the chest tube is secured. Securing the chest tube is crucial for several reasons. First, it prevents accidental dislodgement, which can lead to a compromised airway and respiratory distress. Ensuring that the chest tube is properly secured also helps maintain the integrity of the pleural space, allowing for effective drainage of air or fluid and promoting optimal lung re-expansion.

Furthermore, if the chest tube is not secured, it could potentially result in a significant complication, such as a pneumothorax or hemothorax, which necessitates immediate medical intervention. While monitoring bubbling in the water seal chamber, positioning the patient, and measuring fluid output are all important aspects of post-operative care, confirming that the chest tube is firmly in place takes precedence to ensure patient safety and the effectiveness of the thoracotomy procedure.