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CCRN Critical Care Nursing

Category - Adult

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The intensive care nurse is taking care of a confused patient who impulsively pulls out his chest tube. What is the first action the nurse should do to protect the chest tube site?

Place petroleum gauze dressing over the opening.
Take the vital signs and call the doctor.
Attempt to reinsert the chest tube.
Apply restraints to the patient.

Explanation

Answer: A - The action that protects the site of the chest tube after dislodgement would be to place petroleum gauze dressing over the opening. Then, after the patient’s safety is secured, the physician should be notified.

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CCRN Critical Care Nursing

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CCRN Critical Care Nursing

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