CMSRN Medical-Surgical Nursing

Category - Pulmonary

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The nurse is assigned to care for a 20 year old who has just had chest tubes inserted. An important nursing action is to:

Place a hemostat nearby in case of an air leak.
Check the chest tubes every 2 hours for air leaks.
Coil the tubes carefully to prevent kinking, which could result in an air leak.
Keep the client flat to avoid leaks in the tubing.

Explanation

Answer - A - The most important safety measure is to tape a hemostat nearby to use in case of an air leak. Chest tubes should be checked periodically, but not necessarily every 2 hours (Choice B). The client should be in semi-Fowler’s position to increase lung expansion.

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