The nurse is assisting the physician with the removal of a chest tube following the resolution of a pneumothorax. The nurse should instruct the patient to do which of the following during removal?

Exhale slowly and bear down


•The valsalva maneuver will increase intrathoracic pressure and reduce the risk of air entering the pleural space.

•The remaining answer choices are incorrect techniques for the valsalva maneuver.

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