If an infant has undergone open repair of a fractured sternum and requires a chest tube, the nurse should provide the following parent teaching to explain the rationale:
Explanation of the chest tube: The nurse should explain the purpose of the chest tube, how it functions, and why it is needed. This includes explaining that the chest tube will help drain air or fluid from the chest cavity, which will help the lungs to function properly.
Monitoring the infant's vital signs: The nurse should teach the parents to monitor the infant's vital signs, such as respiratory rate and oxygen saturation, to detect any changes that may indicate problems with the chest tube.
Providing care for the chest tube: The nurse should explain how to care for the chest tube, including how to empty the drainage container, how to maintain the dressing, and how to recognize signs of infection.
Precautions to prevent dislodgement: The nurse should explain the importance of preventing the chest tube from becoming dislodged, including how to handle the infant and how to secure the chest tube.
Follow-up care: The nurse should explain the need for follow-up care, including when to schedule appointments with the healthcare provider, when to call for help, and what to expect during the recovery period.
Overall, the nurse should provide clear and concise information about the chest tube to help the parents understand why it is necessary and how to care for it appropriately.