What is the priority nursing action after the insertion of a chest tube?

The priority nursing action after the insertion of a chest tube is to check the patency of the chest tube. Ensuring that the chest tube is patent—meaning it is clear of blockages and allowing air or fluid to drain appropriately—is crucial for the effectiveness of the intervention. When a chest tube is inserted, it is done so to alleviate pressure from the pleural space or to drain fluid; if it becomes obstructed, it can lead to significant complications such as respiratory distress or infection.

Assessing the client's respiratory status is also important, but it will primarily be influenced by the functioning of the chest tube. While documenting the procedure is necessary for medical records, it is not an immediate action that contributes to the patient's immediate safety following chest tube insertion.

Therefore, prioritizing the patency of the chest tube ensures that it is working as intended, which directly impacts the patient's breathing and overall condition.