NCLEX-RN · Question #581
A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:
The correct answer is C. Apply a petrolatum dressing over the site. (A) This action is inappropriate. Coughing will not re-expand the lung and could result in further (B) This action is a medical procedure, not a nursing procedure. (C) An occlusive dressing will prevent further air leak until the physician institutes further (D) The decision to…
Question
A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:
Options
- AInstruct the client to cough deeply to re-expand her lung
- BPut on sterile gloves and replace the tube
- CApply a petrolatum dressing over the site
- DAuscultate the lung to determine if she needs the tube replaced
How the community answered
(45 responses)- A9% (4)
- B2% (1)
- C84% (38)
- D4% (2)
Explanation
(A) This action is inappropriate. Coughing will not re-expand the lung and could result in further (B) This action is a medical procedure, not a nursing procedure. (C) An occlusive dressing will prevent further air leak until the physician institutes further (D) The decision to reinsert the tube is a medical decision, not a nursing one.
Topics
Community Discussion
No community discussion yet for this question.