Final answer:
Open chest wounds should be covered with an occlusive dressing taped on three sides to allow trapped air to escape and prevent tension pneumothorax.
Step-by-step explanation:
Open chest wounds should be covered with an occlusive dressing taped on three sides. This is done to create a valve-like effect that allows air to exit the chest cavity without letting more air in, which is essential to prevent the development of a tension pneumothorax, a potentially life-threatening condition. Taping the dressing on all four sides might trap air inside and worsen the patient's condition, while using a non-occlusive dressing would not prevent air from entering the chest cavity.